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Home My WebLink About0030400-Building (remodel bathroom) /� CITY OF OSHKOSH N° 30400 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � Z PLAN NO. OWNER ..i� /'�1.Z� DESIGNER USE/NATURE OF WORK • � • � � � � BUILDING CON�'RACTOR ��/f� Size Sq. Ft. # Rooms # St �es �� Height Foundation � Class of Const. � Occupancy Permit� HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ures 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 / FEES: Valuation $ �� ` �� Permit Fee Paid $ �,'�° Park Dedication $ ISSUED BY ` Date�/��1 v Final/O.P. In the performance of this work I a to perform all work pursuant to rules governing the described construction. SIGNATURE �%'?� AGENT/OWNER AT� ADDRESS TELEPHONE#