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0007161-Plumbing (water heater)
CITY OF OSHKOSH N� 07161 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��7 �' " �� , � 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_ PI IIMRIN� (�nNTRAC'T(�R Lo, C�22�+i?/�2�� BT �WH —Disp WSoft CBasin Lav —Sh DW DF San. Sewer WC FDr SP _Ur Storm Sewer Sink LTub —Eject SS —Water Other _ �---- o�. FEES: Valuation $ �� Permit Fee Paid $ Park Dedication $ ISSUED BY—�� �/'a-�-�- Date �� — Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. __�'' SIGNATUR � � � � �� � AGENTOWNER DAT ADDRESS_ TELEPHONE#