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HomeMy WebLinkAbout0009504-Plumbing (water heater) � CITY OF OSHKOSH No 09504 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/?� �- ,����1���rI PLAN NO. OWNER �� �a � i/'�.�1 DESIGNER USE/NATURE OF WORK 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 PI IIMRW(� C'(�NTRAC'T(�R P!%'t1 _BT �WH —Disp —WSoft CBasin —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other / o�a Q�g__- FEES: Valuation $ 3 Permit Fee Paid $ � Park Dedication $ ISSUED BY Date Final/O.P. In the performan e of this rk all work pursuant to rules governing the described construction. SIGNATURE WNER DATE ADDRESS TELEPHONE#