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Home My WebLink About1995-Electric (service change) �3 � No , �, �, , %-�JG:JIJ CITY OF OSHKOSH n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - ' ADDRESS 2" � � ��`�� PLAN N0. OWNER��-�:�-c.z_ �i�� t t DESIGNER USE/NATURE OF WORK � 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 ��-'�� -� // Electric Serv. New ❑ Change,¢�-Iemp ❑ Type��L—�Volts��' Amps�� / Fixtures Switches Receptades=f�-� 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 $ �e�e�. t' �� -� '�' " Park Dedication $ Permit Fee Paid $ / ' � ISSUED BY �'��""� ��'�'�`�� Date � S Final/O.P. In the performance of this work I agree to perform aIl work pursuant to rules governing the described construction. SIGNATURE AGENTDWNER �A� ADDRESS �-- TELEPMONE N APP7. DATE � 1 �l``� PERMIT M0. � �5 Y �' ADDRESS 5 O � OWNER ,I-C'c?6� f 7Ft' � U i'9 lC Pt� NATURE OF WORK r��'J/�C f' /—/�i't� [ �P HEATINC CONTRACTOR �- �. Gt� � FUEL: �S� OIL ELEC. SOLAR SOLID �ONDLTIONINC CFFORCED ALR H.W. ELEC. BASE. STEAM SYSTEPt RADIANT SUPPL. A C CHIMNEY: "A" ��B" IRECT VENT CON.BURNER CALCULA'fED HEAT LOSS �y��s � SYSTEM BTU RATING �O,iN�-tr MISC. INSP. ROUGii IN FINAL � (/ �f esr. cosr� �5Y' �'{'O PERMIT FEES 3/ C�� DATE PD f '/� `y REMARKS