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0048216-Electric (bathroom remodel)
�/ z_.� � CITY OF OSHKOSH N� 48216 PERIIAIT - APPLICATION AND RECORD TYPE: BLDG � HTG � ELEC PLBG � SIGN � ZONiNG FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - `/- - - - - - - - - - - - - - - - - - - - - ADDRESS Z J �P PLAN NO. OWNER ` � ��� DESIGNER USE/NATURE OF WORK /��� BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat U 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 FEES: Valuation $ � '�// � d Permit Fee Paid $ �S•° *� Park Dedication $ ISSUED BY Date �� �.3�9 J� Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE N