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0017498-Building (remodel 2nd floor bathroom)
� CITY OF OSHKOSH N°_ 17498 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3S Z _ ��i ADDRESS � � �� PLAN NO. OWNER ��� ,�. � DESIGNER USE/NATURE OF WORK e P � � .S �� �v-�" — ��J �"c�r- 4 c c°S, �'/���I�y �� �����s ., BUILDING CC�NTRACT(�R Oo�' _� r'Gt Size v X � Sq. Ft. T— # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit� ___._--- HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR � „/C-C�'J� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��i��ou� _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 Pe ' Fee Paid $ ��� Park Dedication $ ISSUED BY Date � f� Final/O.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATUR � �v AGENT/OWNER ATE ADDRESS �I �3� w l �/l � 3 3 �7 ZD TELEPHONE#