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Home My WebLink About1991-Electric (service change) /� CITY OF OSHKOSH N° 26426 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �' ( � PLAN NO. OWNER '` � DESIGNER USE/NATURE OF WORK �=%�`�L-' ' BUILDING CON7RACTOR 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 l 7 �- � � Electric Serv. New ❑ Change Temp ❑ Type J � Volts��'�Amps��4 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 —SS Water � Other � FEES: Valuation $ f Permit Fee Paid $ ` `4' '--� Park Dedication $ , ISSUED BY Date��"—� '" `� Final/O.P. ��-3 �/� In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. SIGNATURE � �� AG NT/OWNER ATE � ADDRESS TELEPHONE# �