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Home My WebLink About0005535-Plumbing (bathroom remodel) � CITY OF OSHKOSH N°_ 05535 `► PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �� a ��-��^ PLAN NO. OWNER 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 � 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 / �r C��-- FEES: Valuation $ ( Permit Fee Paid $ ! 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 AGENT/OWNER DATE ADDRESS � TELEPHONE#