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Home My WebLink About1986-Electric (annual permit) CITY OF OSHKOSH No 00052 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -X- - - - - - - - - - - - -/-"�- - - - - - - - - - - - - - ' - - ADDRESS J`� � �L�'^"-� PLAN NO. ! OWNER ��C � ��,`- 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 ❑ FueliSystem Heat Loss BTU'S ELECTRIC CONTRACTOR I Electric Serv. New Change ❑ Temp ❑ Type Volts �� Amps Fixtures S itches �� ce tacles �� ircuit "� ,—i l�� 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 C1✓1/�S'Y„3�L3L-�/ G�--� � ��j p �.... �/ V� FEES: Valuation Permit Fee Paid $� Park Dedication $ ISSUED BY Date / �-s�- C� � Final/0.P. ✓ In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. / SIGNATURE�—'" � AGENTiOWNER DATE ADDRESS TELEPHONE#