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HomeMy WebLinkAbout0000800-Plumbing (water heater), /'� CITY OF OSHKOSH No _ 00800 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS /h f` � � "��!I/i Y� PLAN NO. OWNER ,���� �%'Gr DESIGNER USE/NATURE OF WORK `�-r/ 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 �'y`� —BT r WH —Disp —WSoft —CBasin —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other , � a�. FEES: Valuation $ '�� P rmit Fee Paid $ Park Dedication $ ISSUED BY ���crz Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� ' c_----. . SIGNATURE � ' � � AGENT/OWNER DATE ADDRESS . TELEPHONE N