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0030356-Plumbing (water heater)
/� CITY OF OSHKOSH N°_ 30356 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. ADDRESS ����/• / /�-l���J PLAN NO. OWNER DESIGNER USE/NATURE OF WORK1dL!{��1(i �/[-�.Ct.[liJ(� BUILDING CON�'RACTOR 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 CONTRACTUR � 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 $ v�� 0� Permit Fee Paid $ �v•w Park Dedication $ ISSUED BY Date ����L Final/O.P. ? � i � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c----� SIGNATURE "�" AG /OWNER DATE ADDRESS TELEPHONE#