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HomeMy WebLinkAbout0030331-Plumbing (water heater) � CITY OF OSHKOSH N°- 30331 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK !�(d,L.Q�� � 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 —WS —CBasin 5�`� —Lav _Sh —DW —DF San. Sewer WC —FDr SP Ur —Storm Sewer —Sink LTub —Eject —SS Water Other FEES: Valuation V Permit Fee Paid $ /� � � Park Dedication $ ISSUED BY � Date �`��� ��1- Final/O.P. 9 Y` In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �— � � ! ' SIGNATURE NT/OW R DATE ADDRESS - TELEPHONE# -