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Home My WebLink About0027031-Plumbing (water heater) n CITY OF OSHKOSH N° 27031 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �`] SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS l� �� PLAN NO. OWNER / DESIGNER USE/NATURE OF WORK /` �� l`i � 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 cr�-�--�2 .�-Sc FEES: Valuation $ � �'c G Permit Fee Paid $ �� Park Dedication $ ;' ISSUED BY ��!9�7 ��' Date / -2 � 'r�-�. Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE L v�3 ^ J ,"'J AGENT/OWNER DATE ADDRESS �Io� N' ��-1+�1 �T� �2- D�� TELEPHONE#