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0014574-Plumbing (water heater)
` i E. \'i ` � CITY OF OSHKOSH N° 14574 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� � iG��l2<L^ PLAN NO. OWNER ��!� ��I��.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 PI UMRW(� (�ONTRACTOR �, �s+ � —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 $ Z X7) P mit Fee Paid $ Park Dedication $ ISSUED BY Date Final/O.P. In the performance of this work I agree to perform all work pursuan: :o rules governing the described const�uction. .� �- SIGNATURE �-- GENT/OWNER DATE ADDRESS TELEPHONE#