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0038363-Plumbing (water heater)
��i � CITY OF OSHKOSH N° 38363 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� / `U� �����Q- PLAN NO. OWNER � LC��_�j/,�it�� DESIGNER USE/NATURE OF WORK ,�,d���(L/� 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 (��-�L/ —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 $ "���� � � Permit Fee Paid $ /�` � G Park Dedication $ ISSUED BY �'l/ Date �/� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE#