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0034116-Plumbing (water heater)
�/� � CITY OF OSHKOSH N°- 34116 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�J SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - -�- - - - - - - � -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� PLAN NO. c � ` OWNER DESIGNER USE/NATURE OF WORK j�/ 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 r Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � _BT —L.WH —Disp —WSoft —CBasin � —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other / FEES: Valuation $ �� �' O � Permit Fee Paid $ l d ' � �J Park Dedication $ ISSUED BY � Date � 'L 'S -J Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ����� ✓g � GENT/OWNER DATE �� ADDRESS . TELEPHONE# _ ��� II�AG PEBI�'t APPLICATION �ina�ss G•� � — � -� � � °� " � - � --� �s�� -3�i/� � owNEB �`� �� .� ` PLDl�LB � ,���- �:� NA�RE OF WORL � REI�AY BEPAIR INIEHI08 : # � ` �tATEB Sathtub Su Pu Lavatc E'ector Toilet Water Softener �A1E ZNSPEC1Z01� DATE Rit. Sink Drinkin Fountain � �/ - , � � Si.ak other . �0� � -� .�c S v � ' / ' `� ��i� '� e e te Slo Sink ' e se T a Floor Drain Local Waste Laundry Tu Site Drain . Dis osal Laundr Stand i e Dishwasher Catch Basin ** Vinlation net�. on tti� r��verse side