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Home My WebLink About0038741-Plumbing (water heater) ��/ CITY OF OSHKOSH N° 38741 � ; PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��3 �'i-� PLAN NO. �� - OWNER � F ; DESIGNER ` USE/NATURE OF WORK BUILDING CON7RACTOR 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 � �-��'� - ` �-C —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 $ 2'3�- � � Permit Fee Paid $ �`� ` d Q Park Dedication $ ISSUED BY �� Date -�� .� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE��_�E��L L�/�?�..e-�5,� J A-�I�-�� / 97 ' � AGENT/OWNER �� DATE ADDRESS �� D � �.�3C Y�SZ . .4�.d>mf.�� / ' � 5' ��.� ��.�O S� � TELEPHONE�