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HomeMy WebLinkAbout0014822-Plumbing (water heater) /`', _ CITY OF OSHKOSH N°_ 14822 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �-:3 f�__��,, �.--�� PLAN NO. � OWNER �.-L-�,����'L' �� "�.� DESIGNER USE/NATURE OF WORK r°`�'�=' �c°-e' ,r� � �� ---�-/-�Tf- BUILDING CON��RACTOR 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 T__C._��_.�j��zi� —BT �WH Disp WSoft —CBasin —Lav Sh DW _DF San. Sewer WC _FDr _SP _Ur Storm Sewer —Sink LTub Eject _SS Water Other_ � "'' �-�—. FEES: Valuation $ 7 �� Permit Fee Paid $ �6 Park Dedication $ ISSUED BY - � Date � �,�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' �!d't� �� O J- �'� AGENT,�OWNER DATE ADDRESS TELEPHONE#