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HomeMy WebLinkAbout0033330-Plumbing (water heater) ��/ � CITY OF OSHKOSH N° 33330 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ___-I t1�I �.!/v[,/� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK LLK����L�.GCJL����� 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 ��Q` r�/ —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 $ ��a.�� Permit Fee Paid $ �o' �' �' Park Dedication $ ISSUED BY � Date ��'2���� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �__� �_� ��� ' � SIGNATURE AG T/OW R DATE ADDRESS TELEPHONE# s