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Home My WebLink About0043204-Plumbing (water heater) �t 1 I No - 43204 � � CITY OF OSHKOSH ' `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS ��`�� Q rr�� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK . �T.� Y�' 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 ��n� M1 _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 $_l'1��,� Permit Fee Paid $ � Park Dedication $ ISSUED BY G�� Date I 3 S Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE - ' r A T/OWNER pq7� . ADDRESS TELEPHONE N