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Home My WebLink About0040373-Electric ~ &11 CITY OF OSHKOSH N2 40373 PERMIT - APPLICATION AND RECORD ~P_E: - _~L~~ -~ _~T~_C?- ~~E~ ¥- ~~B~_C?- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~- ~~I~~T~ ADDRESS ,)-9,1/0 /~"£A 7~ ~ PLAN NO, OWNER 7/* ~ DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. F\. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Cons\. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR áA"~~r-:. ,~~f"""'---- Electric Servo New~ Change 0 Temp 0 Type Volts 2.t:;d Amps 'ZðiJ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _Lav _WC _FDr _LTub _SP _Ur _SS _Storm Sewer _Water _Sink _Eject Other / FEES: Valuation $ ;J-.tJ 0 0 ,ù Ù Permit Fee Paid $ $""0 , cor/' ~ I.~~ Date 7/7 if ~ Park Dedication $ Finai/O.P. ISSUED BY In the performance of this work I agree to perform ail work pursuant to rules governing the described construction, SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE.