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Home My WebLink About041365-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (P/~ N! - 41365 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ :~E~ K ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 17 7 0 ~ ~ (J~~ r &~~~ , PLAN NO. OWNER DESIGNER 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 Fixtures Temp 0 Receptacles Circuits ELECTRIC CONTRACTOR Electric Servo New PLUMBING CONTRACTOR _Lav _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _FOr _ L Tub _Disp _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject _SS FEES: Valua'''n ~()O .OD Permi' Fee Paid $ ISSUED BY .y../ (~ Date (I / f~tOo/ f/Z.Cf ff 5?' Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. 'f13(, $" ,APPL. DATE 1Iii! ELEC. CONTR. ~~~ OWNER 'CI~ ~ ~~~S oIJo?lt~ JL~ ELEC. SERV. NEW ........ ... CHANGE DESC. TYPE 'f 1'- VOLTS 3 <.d FIX'S SW'S' RECEPT'S APPLIANCES bn TEMP. AMPS::J-oiIJ CIRC'S SI"GNS INSP. ROUGHIN EST. COST f) 0 . e J REMARKS SERVICE PERMIT FE ('J - (7 FINALr~ )' DATE PD.