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Home My WebLink About0003090-Electric (remodel) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03090 TYPE: BLDG 0 HTG 0 ELEC {l( PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - --- - - - - .' - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - .-- -:ito Wu.#~ ..._~~~. PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK ~~-<---f BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System r, ELOSTRIC CONTRACTOR a~ ~~ Electric Servo New 0 Change 0 Temp 0 Type_ -------.. ~itches Receptacles Heat Loss BTU'S Volts_ Amps_ Fixtures -- .. Circuits -~( PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _SP _ WSoft _DF ~ CBasin _Lav _ San. Sewer _WC _FDr _LTub _Ur _ Storm Sewer _Sink _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY / ;;;-- ~~ J-~ (/'-~ '7 Park Dedication $ -::;>-11 -<:;:;;:;r7 Final/O.P. L 0 Date SIGNATURE gree to perform all work pursuant to rules governing the described construction. DATE ADDRESS TELEPHONE # PFRf-UT NO. {} J 0 10 /'-;2b~lr ,ELEC. CONT~. OWNER l' @DRESS N.ATtJ~E.. OF WO~I< ~~~~..... ~ .. ::5 APPLIANCES ~~~:~ ROUGfn:N EST. COST ~ REMA~I<S : = ~.. c:?' TEMP. AMPS ~. CI~C' S .~ {A./a~ ~ SERVICE FINAL -1.- PERkIT F'EE /""'~ATE...r>D.l._/l-...~'.. ~.'" . .... ... ... . : =