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0046027-Electric (service change)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~3t. N!! 46027 ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT TYPE: BLDG 0 HTG 0 ELEC ADDRESS 5 v!/~ Nt1-<-~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit :foundation Class of Const. HEAJING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ,. ~LECTRIC CONTRACTOR ~~~- Electric Servo New 0 Change 6 Temp 0 Type D//if VOlts3 W Ampsl ~ Fixtures Switches Receptacles \.{- Circuits '1.-- 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 FEES, vaJua~ 9 D · 6 " Perm. Fee Paid $ IISSUED BY ~~~ Date . t/ l / ,67/. iJ 0 / 7j;r/1j'- Park Dedication $ Final/O.P. Iln the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE #