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Home My WebLink About0002796-Plumbing (water heater) � _ CITY OF OSHKOSH No _ 02796 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .� ADDRESS PLAN NO. ,� i OWNER �� Q7—�tic E� �� DESIGNER USE/NATURE OF WORK � �� ,�� « �-�� BU�LDING 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�ti'� �z'��L� s —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 $ � Permit Fee Paid $ Park Dedication $ ISSUED BY Date � �" '' Final/O.P. In the performa�nc`e o_f this work I agree to perform all work pursuant to rules governing the described construction. - � -----s_=� SIGNATURE � � � AGENT/OWNER DATE ADDRESS TELEPHONE#