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Home My WebLink About0004268-Plumbing (water heater) � CITY OF OSHKOSH N°_ 04268 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS cV► 3 ( a �° ��''�/ '""� � o z� PLAN NO. OWNER J �G� l.t.//l(/ G'z �' DESIGNER USE/NATURE OF WORK � ��/�-'� L� � BUILDING CONTRACTOR �s'��— Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELEC7RIC CONTRACTOR ' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �W�e-� _gT 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 $ �D � Park Dedication $ ISSUED BY Date Final/O.P. � /a�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � w � � / SIGNATURE AGENT/OWNER DAT ADDRESS TELEPHONE#