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Home My WebLink About1991-Electric (remodel) CITY OF OSHKOSH N° 22228 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - -'/- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� '�""`' �� " PLAN NO. OWNER -�/�/ � - DESIGNER USE/NATURE OF WORK �''`�1�� 2 � �0 3- � 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 "�'— � /z,�0 Electric Serv. New ❑ Change ��femp ❑ Type� Volts Amps� Fixtures '�� Switches � Receptacies -� Circuits `� �� 1 f 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. I O FEES: Valuation $ � �� -�--Permit Fee Paid $ ��- Park Dedication $ ISSUED BY Date�� l Final/O.P.j�^��—p� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ��z /� WNER DAT ADDRESS TELEPHONE N PERMIT NO. � �� G � �PI' DATE ��'- �� -/L� ELEC. CONTR. �� -'"` �""-` � OWNER t� �� y� /� i '7 '-��`'tii ADDRESS NATURE OF WORK ' ry,J/ CHANGE TEMP . ELEC. SERV. NEW C � DESC. TYPE ' C >' ' '� VOLTS t L G AMPS SW' S � RECEPT�' S CIRC' S FIX' S �,1 _ APPLIANCES SIG'4S � �� f lL� INSP ROUGHIN ' ( I 2 - �j SERVIC C/C /� J/ AFEN D.�l�9/ EST COST / CJ�>!� � �PERMIT FEE_� REMARKS , �y