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Home My WebLink About0012670-Electric (bathroom remodel) . CITY OF OSHKOSH No 12670 � PERMIT — APPLICATION AND RECORD ' TYPE: BLDG ❑ HTG ❑ ELEC J� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT l � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �- PLAN NO. OWNER �-- � DESIGNER USE/NATURE OF WORK �c� YG�dk• �� 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 FI F('TRIC� C'ONTRAC'TOR ��G �' 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 $ �� Permit Fee Paid $�� Park Dedication $ ISSUED BY Date �� — � 6 Final/O.P. � 3` 9� 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#