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0000868-Plumbing (water heater)
� _ CITY OF OSHKOSH No _ 0086� PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�_SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS ��'� �� e l ' PLAN NO. OWNER d l���.L�L(CT3 a,,�<� E _ 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 —BT �WH —Disp —WSoft —CBasin : —Lav —Sh _DW —DF —San. Sewer —WC _FDr —SP _Ur _Storm Sewer —Sink _LTub —Eject —SS —Water Other _ � / a1 �-- FEES: Valuation $ ,?�� Permit Fee Paid $ v ` � Park Dedication $ ISSUED BY�,���L7�� Date_�" ;� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � v A WNER DATE � ADDRESS TELEPHONE N