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0029625-Building (bathroom remodel)
� � CITY OF OSHKOSH N°- 29625 `' PERMIT - APPL�ICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS L �- � ' I ~ l �"I��./�/`�i� PLAN NO. OWNER �✓/t�t% /�./(-C�h� DESIGNER USE/NATURE OF WORK ,��/L. ���7z!L�.d.�Gl/h-�(.c� �i ��l��-�.,���� I-� �,b.d-d�7L • ,�/�G9^t.i'.t [��, ,1�=�-�C.v�y'' ,� �LI�C'CL'�- BUILDING CONTRACTOR �'� q �, / / Size 1'" "`" Sq. Ft. # Rooms # Stories � Height b 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 _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 $ ���� d a Permit Fee Paid $ ���'a ° Park Dedication $ ISSUED BY �'`� ���`�-^�' Date��,��i Final/O.P. tn the performance of this work I agree to perform all work pursuant to rules governing the described construction. �/ / � SIGNATURE� ��� ��/ AGENT/OWNER DATE ADDRESS TELEPHONE#