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0033289-Plumbing (water heater)
. �� � CITY OF OSHKOSH N°- 33289 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS SQ � � . C� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK�.� ��� �,,c�"�� ���L�L� 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 �� �����2��• —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 $ l p �� � Park Dedication $ ISSUED BY ' � Date � '�� –�-°3 Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE - ''—���� AGENT/OWNER DATE ADDRESS ' TELEPHONE#