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HomeMy WebLinkAbout0020872-Plumbing (water heater) /� CITY OF OSHKOSH N° 20872 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �������/z°,�'r,/�� PLAN NO. OWNER ��4��� ��/��i� DESIGNER USE/NATURE OF WORK 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 � ��-�'�/'�_$�1� —BT �WH _Disp —WSoft —CBasin Crc��—"� —Lav Sh _DW _DF San. Sewer WC —FDr _SP _Ur Storm Sewer —Sink _LTub —Eject SS —Water Other � FEES: Valuation $ ��� ermit Fee Paid $ ��� Park Dedication $ ISSUED BY Date ���?!�1Q Final/O.P. In t of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��!� AGENT/OWNER DATE ADDRESS TELEPHONE#