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0037923-Plumbing (water heater)
�// � CITY OF OShKOSH N°- 37923 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � �l� //1 PLAN NO. �� � OWNER DESIGNER USE/NATURE OF WORK I BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT �WH _Disp —WSoft _CBasin �� : —Lav —Sh _DW _DF —San. Sewer —WC _FDr _SP _Ur —Storm Sewer —Sink _LTub _Eject —SS _Water Other FEES: Valuation $ �� S - � d Permit Fee Paid $ �b � � � Park Dedication $ ISSUED BY G�� Date '� '� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/ ` d–��'/ � AGENT/ NER DATE ADDRESS TELEPHONE�