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0033306-Plumbing (water heater)
��� � CITY OF OSHKOSH N° 33306 , `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��+ t ����� � � PLAN NO. OWNER�P �nY� G��1Yl D� DESIGNER USE/NATURE OF WORK�����C� G'1�Q7'L/ (( Q�-!' 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 ���.I7�.rnC'nS —BT �WH _Disp _WSoft _CBasin � —Lav _Sh _DW _DF _San. Sewer .—WC _FDr _SP _Ur _Storm Sewer __Sink _LTub —Eject _SS _Water Other c�, FEES: Valuation $ `�� Permit Fee Paid $ � �� � Park Dedication $ � ISSUED BY � Date �'� d' '�--� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. r_'� �.� SIGNATURE��� � '� .���7--,CJ'j AG T,�OWNER DATE ADDRESS TELEPHONE#