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Home My WebLink About1989-Electric (service chnage) CITY OF OSHKOSH N° 15867 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS--Q � G/ U��-�'�G"��- PLAN NO OWNER �ir�/l�r��[ � DESIGNER USE�NATURE OF WORK �-�'-� ��-'-�� 3 � �� — �� s� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height FoundatiQn Class ot Const. Occupancy Permit HEATING CONTRACTOR I Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR - � e--- �'� ��-- � � ElecVic Serv. New ❑ Change � Temp ❑ Type �� Volts /Z aAmps ��rL �"^� Fixtures _ Switches Receptacles Circuits "� 1 �'� 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 FEES: Valuation $ � �� P rmit Fee Paid $ C ' �/ �r Park Dedication $ Q ISSUED BY Date ` � —`� —`' � Final/O.P. �O �lV C, � In the pertormance of this work I agree to perform all work pursuant to rules governing the described consvuction. i , ,, l i / , lU // � c SIGNATURE � ��J ��'!'�"�= // t AGEM/ NER DAT ADDRESS TELEPHONE# PERMIT NO. I � �� " • APPL. DATE -�=' -� '� ELEC. CONTR. C�� l' OWNER �� - . -- ADDRESS �� / � �� """ ''"j"" `" NATURE OF WORK L'TEC SERV NEW CHANGE TEMp• D C. TYPE - �" - VOLTS i}`��- C� AI�$ '�`�Ju FIX' S SW' S '}�Ci RECEP 5 �c" CIRC' S �c APPLIANCES (� � '� SIGYS '`-� `� INSP ROUGHIN SERVICECI(-Y�-�- Y`i FINAL?� �" �Y EST COST J O d��L�� PERMIT FEE >>-�> DATE PD ID'�� REMARKS