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Home My WebLink About0043236-Electric (remodel) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD r. /1 N!f - 4~236 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ( ///~ /?7~ . - ~ Wd~~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. ~ # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ---' HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ ~,...N/ Electric Servo New 0 Change 0 Temp 0 Type _ Volts Fixtures /'" Switches ,.--- Receptacles--- Amps_ Circuits --- PLUMBING CONTRACTOR _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _ Water _Lav _WC _Ur _Sink Other _ Eject _SS FEES: valuat~~~' " '" ,Permij Fee Paid $ ISSUED BY ~~ _~~ Date 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. 'f3 t..--J ~ .1/~ omIER . ~ V,;d~ AD.DR~S I/(S ~7~ NATttRE OF WORK - ~ = . / ELEG. SERV. NEW . CHANGE DESC. TYPE VOLTS ~.X'S SW'S REcEPT' 5 ~PLIANCES --! &PL. DATE ~I(t;h <fJ (, 1"1- ELEC. CONTR. SI"GNS INSP. ROUGHIN EST. COST ~ ob REMARKS SERVICE PERMIT FEE ~ TEMP. ~S CIRC'S . : ~ir FINAL ~IIV7 ... DATE PD. I. ~ .'9y ~. -= ~ =