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0023864-Electric (service change)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 23864 TYPE: BLDG 0 HTG 0 ELEC ø: PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- ~~~~E~~ ---j:;~-- - ~ll~;"A-\- -- -------------- -- - - - - - -~L~~~~.- - - - - - - ---- OWNER ú(ð f:,.. ¡.. \Ôf{h'~"\ DESIGNER ~(~ ch~r;- <7- ¿() --/;-ð -;) . I ()() n/!-. USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo New 0 Receptacles Circuits ~ ELECTRIC CONTRACTOR Fixtures PLUMBING CONTRACTOR _BT _WH -Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _Lav _WC _FDr _LTub -SP _Ur _Storm Sewer _Sink Other _Eject -SS _Water Permit Fee Paid $ Date j ;2- éJ~ t -I '7-1:./ , ; Park Dedication $ Final/OP :'J - 3 ð -9/ SIGNATURE ~ ~ /~ q f ATE ADDRESS TELEPHONE #