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HomeMy WebLinkAbout0009803-Electric (bath remodel) � _ CITY OF OSHKOSH No 0980� PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � /' 1 -/� �,� � ADDRESS �S �/v• � S' h ,/��, PLAN NO. OWNER v�� ���Ln)S• DESIGNER USE/NATURE OF WORK !,-�1 "� Y�1J-.-�O��� _ 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<<�� C���I C_ . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures�— Switches—ya� 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 $ /� � �U Park Dedication $ ISSUED B �- Date!� ��,� " �S Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �G ��' � AGENT/OWNER DATE ADDRESS TELEPHONE#