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HomeMy WebLinkAbout0037765-Plumbing (water heater) f�/ � CITY OF OSHKOSH N°- 37765 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PIBG�iJ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS L�' PLAN NO. OWNER 1 DESIGNER USE/NATURE OF WORK I�-'1.►�` • � �" 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 �1� Yl.�� —BT �WH _Disp _WSoft _CBasin � —Lav _Sh _DW _DF —San. Sewer —WC _FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other 00 c�o FEES: Valuation $ b���• Permit Fee Paid $ ��• Park Dedication $ ISSUED BY � Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ^� �'� V �' �.. "_____-- SIGNATURE � - AGEN=/ DATE % ADDRESS � TELEPHONE#