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Home My WebLink About0039265-Electric (bath remodel) �/z-' N°_ 39265 CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS II� � /� � ` PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit a HEATING CONTRACTOR r Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �l��C- ��L�/� � � 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 $ �0 ° ' �'� Permit Fee Paid $ � '� J ✓ Park Dedication $ ISSUED BY //.��-��i-._�s� Date 1 Final/O.P. In the performance o�hjs work I agree to perform all work pursuant to rules governing the described construction. � , �" -� � � - ,'`� I', � SIGNATURE ,�`,�� I ��(_ �' I Z� �/� AGENT/OWNER DATE T- ADDRESS TELEPHONE# � [ PERMIT NO. ��-G S� . P.PPL. DATE � ELEC CONTR /�L� � OWNER � � � ,t-�—�-.-,�., .�/JC/ � ADDRESS �� 7 �I � ATURE OF WORIC E?,EC SERV NEW CHANGE TEMP• � *�FSC TYPE VOLTS A1�S � � FIX' S SW'S RECEPT'S CIRC'S � � AP LIANCES � r � SI�GNS � INSP. ROUGH N SERVICE FINAL � EST COST '� � �� .� PERMIT FEE Z.o•� :J DATE PD.� 9f� � � REMARKS ` ; � � � j F € � a t �