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Home My WebLink About0014658-Plumbing (water heater) � � CITY OF OSHKOSH N° 14658 � `' PERMIT - APPLICATION AND RECORD � 3 f TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�- SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ,l��n��✓/,� PLAN NO. OWNER � �- DESIGNER USE/NATURE OF WORK 1�ri��.� �E ��(/t,� .c1 .,-LV��t_� 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 CONTRACTC�R � ��P�---� —BT �WH —Disp WSoft CBasin —Lav Sh —DW —DF San. Sewer WC FDr SP —Ur Storm Sewer Sink LTub Eject —SS —Water Other p �✓r �„ FEES: Valuation $ J 7� "Fee Paid $�� Park Dedication $ ISSUED BY �ti— � Date � i�"'— � Final/O.P. In the performance of this work I agree to perform all work pursuan` '.o rules governing the described construction. e SIGNATURE AG T/OWNER DATE � � ADDRESS �'�l7 7 ��`t- r►-p� TELEPHONE#