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HomeMy WebLinkAbout0020906-Plumbing (water heater) � _ CITY OF OSHKOSH N° 20906 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�' SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS //�� ��vC�/?r����'.� PLAN NO. OWNER �/��'/�����c- ,���I�'-�'� �/ DESIGNER ,� i USE/NATURE OF WORK 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���c�2�/?�c�1ZyZ( ' —BT �WH _Disp —WSoft _CBasin Cr�� —Lav —Sh DW _DF San. Sewer WC FDr _SP —Ur Storm Sewer —Sink _LTub —Eject SS —Water : Other / �-r FEES: Valuation $—�� � ermit Fee Paid $ �� Park Dedication $ ISSUED BY Date�� ���� Final/O.P. In the ce of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR�—` v AGENT/OWNER DATE ADDRESS TELEPHONE#