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Home My WebLink About0013390-Plumbing (bathroom remodel) � _ CITY OF OSHKOSH RD N� 13390 PERMIT APPLICATION AND RECO TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑� ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� f i'�� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK �!� -- d ' 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 S ��/f�i��L[Q'�.c��' �BT —WH —Disp —WSoft —CBasin �Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer �Sink �LTub —Eject SS —Water Other � "- /Q�u , � � 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#