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Home My WebLink About0000864-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 00864 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ A( ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ / Y I 'z::;;/;;;l~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK aL/~/ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const., Height Occupancy Permit Foundation ~ HEATING CONTRACTOR Heat 0 MC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo ELECTRIC CONTRACTOR Fixtures New 0 Switches Temp 0 Type_ Receptacles ~ Volts_ Amps_ Circuits~ PLUMBING CONTRACTOR _BT ___ WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ Date / /~~V (5'- '/-7b Park Dedication $ f- 7~b FEES: Valuation $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~/ // "". V .""~ /a-~-t / __ u ? ,'"~~'" DATE ADDRESS TELEPHONE # ;5-7-7, ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERVo NEW DESC. TYPE FIX'S SW'S ]\PPLIANCES CHANGE: VOLTS' RECEPT'SA TEMP. AMPS CIRC'S SIGNS INSP. ROUGHIN . ~ EST. COST .9--0CJ REMARKS SERVICE _~. FINAL/5'-71j PE:RMIT FE:E'/' -2.~ATE pJJi?-7-.. .