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1987-Electric (service)
CITY OF OSHKOSH NO 04567 PERMIT APPLICATION AND RECORD TYPE: BLDG F] HTG [.7 ELE PLBG [-] SIGN [-] ZONING — FLOOD PLAIN-- HEIGHT-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS.--.-. PLAN NO--... OWNER—4' "-�' DESIGNER- USE/NATURE OF WORK r BUILDING CONTRACTOR SizeSq. Ft.— # Rooms # Stories Height Foundation ., Class of Const. Occupancy Permit mm HEATING CONTRACTOR—— --- Heat E A/C E Vent E Fuel/System Heat Loss-- BTU'S 4— ELECTRIC CONTRACTOR._,,-,,f;t—,--, )C"li( re Electric Serv, New Change rd 4� Temp Type volt LE—Z" 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 Water-- Other- FEES: Valuation $ Permit Fee Paid Park Dedication ISSUED BY- MQ Date Final/O.P. In the performance of this,,Qrk I agree to perform all work pursuant to rules governing the described construction. 9 A SIGNATURE 'PT GE' 'OWNER 4E DAT ADDRESS... TELEPHONE