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Home My WebLink About0026084-Plumbing (water heater) � CITY OF OSHKOSH N°_ 26084 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �J SIGN ❑ ZONING FLOOD PLAIN HEIGHT � ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � °� � ~ PLAN NO. OWNER � 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 P WH Disp —WSoft —CBasin � —Lav Sh DW —DF —San. Sewer � WC —FDr _SP Ur Storm Sewer —Sink LTub —Eject SS Water Other FEES: Valuation $ 3 �� • � � Permit Fee Paid $ �� ` � 6 Park Dedication $ ISSUED BY � ��-��'��y Date �' "z—� —5�/ FinaUO.P. ��:.� _ a �'— Y i In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �, , �/ SIGNATURE��-�e�,-�<'• ��1�C� - AGENT/OWNER DATE ADDRESS � TELEPHONE# . PLUI�ING PERMIT APPLICATION ADDRESS ��S S DATE �'a ��' " 9/ PERMIT� � G G' .P S� ��R � � PLIJI�ER NATORE OF WORK Gc��} NE[1 LAY REPAIR INTERIOR SAN SEW � � WAZER Bathtub Catch Basia � Lavato Grease Tra Toilet I S P NSPECTION DATE INSPECTZON DAZE Rit. Sink Locai Waste �,/ Siak(other � o/ �� - � � Shower Site Drain Laundry S tand Pipe loor Drain Lauad Tra Dis vsal Wat. Softner � Dishwasher D. Fountain � Wat�er Heater E�ector ' Future outlets ** 0� t on the reverse side