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Home My WebLink About0019346-Electric (service change) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 19346 TYPE: BLDG 0 HTG 0 ELEC ~PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - -, ~~- i - - - -/L-~ ~ - - - - - 0 0 0 0 0 0 0 0 00 0 - - - 0 0 0 0 0 ~~~ ~~.- 0 - - - - - 0 0 0 0 ~V+ t~. ~ suuic~ OWNER DESIGNER USE/NATURE OF WORK 204!h P 1-v (OoAAP BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S r ELECTRIC CONTRACTOR S~ C/S::::/ . Electric Servo New 0 Change~Temp 0 Type aU VOltsO?l.{o Amps /DO Fixtures Switches Receptacles Circuits r/fr' PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _FDr _ LTub _Ur _ Storm Sewer _Sink Oth:;r _ Eject _SS _ Water ISSUED BY Permit Fee Paid $ :J.. 0 . Qy;:J Date "/ -( / - ? e:::? Park Dedication $ Final/O.P. r; /::i .-1~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. JJrz:-s f~~~ - e. . AGENT/OWNER 7- / /~/o DATE SIGNATURE ADDRESS TELEPHONE # ., PERMIT NO. ELEC. CONTR. OWNER ADDRE S NATURE OF WORK SERVICE PERMIT FEE: TEMP . AMPS .& CIRC' S q) C. SERVo D C. TYPE FIX'S APPLIANCES I'GNS INSP. ROUGH N EST. COST REMARKS -Vet o FINAL DATE PD.