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Home My WebLink About0032639-Plumbing (water heater) �� CITY OF OSHKOSH N° 32639 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,�]1 SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS < �� PLAN NO. OWNER �-J °'f`- � G�-�� 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 �l-� ��'��"'"' 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 $ �S � 'e'� Permit Fee Paid $ ! `� ' � � Park Dedication $ ISSUED BY � Date � " �b �� FinaUO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU �'��' � I U � � AGENT/OWNER DATE �. ADDRESS TELEPHONE# .