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Home My WebLink About1991-Electric (a/c) CITY OF OSHKOSH N° 23778 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �7 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' - 7 ADDRESS �S "l PLAN NO. f ,� OWNER ��ti 1 DESIGNER /� USE/NATURE OF WORK ,/ �� /C'`� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S FI F(�TRI(' C'(�NTRAC'TOR S<< � "21 Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps /�,/�� Fixtures Switches� Receptacles Circuits �� PLUMBING CONTRACTOR t —BT WH —Disp —WSoft —CBasin � —Lav Sh —DW —DF —San. Sewer o —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water 5ther _i / FEES: Valuation $ �- �Z Permit Fee Paid $��. � Park Dedication $ ISSUED BY Date � �/��L! Final/O.P. � /� / / r In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ��,,� ��C �� " � /� � � AGENT�OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � � �` � APPL DATE � �� ELEC CONTR. �E-' � �vl� �� `C OWNER '� C!� � 1�u �`,` � � ADDRESS �� ' �"'Y � NATURE OF WORK %� / ELEC. SERV. NEW CHANGE TEMP . DESC_ TYPE VOLTS AMPS FIX S SW' S � RECEPT' S CIRC' S APPLIANCES SI'GNS INSP ROUGHIN SERVIC= t� FINAL �- /�' `L� EST. COST / G'O% PERMIT FEE /D � DATE PD.(o Il� `I/ REMARKS