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Home My WebLink About1991-Electric (service change) /� CITY OF OSHKOSH N° 25013 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � PLAN NO. .---� OWNER DESIGNER USE/NATURE OF WORK a C' � � �Q� � � � �� 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 C�NTRACTnR_�.tJ ,,��-�� ' ,� �— 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 r —Sink LTub Eject —SS —Water Other . / �/ FEES: Valuation $ � �� Permit Fee Paid $ � � �—^ Park Dedication $ ISSUED BY Date �1 � 6 T ` � Final/O.P. �'�'�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �6 : GENT/OWNER DAT � ADDRESS TELEPHONE# �