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Home My WebLink AboutElectric CITY OF OSHKOSH N° 17513 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. OWNER �' �21� l� I� r��l'� �- �� DESIGNER USE/NATURE OF WORK �' �� l� � �'� �O'-�S� 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 �`-`�J-��S �� - C� ' �leciric Serv. New � Change ❑ Temp ❑ Type L1•�' Volts �2 �"f�mps �� %J/.{�) Fixtures u Switches X Receptacles '�- Circuits� �J/ �,�/ i �� 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 a � �1cr FEES: Valuatio $ � �� Permit Fee Paid $ � � � Park Dedication $ issuEo e � � � � oate�3 —/9-91� F�nauo.P. `� - � � `� � In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. 7 � ��t' SIGNATURE �y � �pGE ro�� o E �<� ADDRESS TELEPHONE# PERMZT NO. �� > � � . APPL. DATE � — z� ��`� ELEC. CONTR. ��'� �,. OWNER ADDRESS � � — ^ NATURE OF WORK C. SERV. NEW CHANGE 'PEP�• YrcC TYPE 3 w �— +� �� VOLTS /��' }`t0 AMPS /c'�' FIX' S � SW'S X RECEPT' S �C CIRC' S "C PLIANCES CZ � � SI�GNS � � �C �'r � G�-e�� ' INSP ROUGHINF/�-")^fLC`� � SERVICE�"' 3 �-� 'iC FINAL l�- 7 IC EST. COST i ti c�v � PERMIT FEE 5 c`%DATE PD.3-»='�' REMARKS