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Home My WebLink About0000676-Electric (service change) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 00676 ~PE: _ _ ~L~? _~ _ ~G _ c: _ ~LEv( ~~BG _ D _ ~'~N _~. _ ZO;N~ d- _ _ F~O~D_ PLAIN _ _ _ _ _ _ ~~'GHT_ _ _ _ . ADDRESS 1-/ tJ 7 - ~ PLAN NO. . n /~/.A7 OWNER o/~. ~ DESIGNER USE/NATURE OF WORK C~7/~ . - 3~hcJ~,:J{7-dB': BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System L Heat Loss BTU'S ELE~TRIC CONTRACTOR oJ' e/g < Electric Servo New 0 Chang~ Temp 0 Type]....{)/" VOIfJ,'$O Amps/C'O Fixtures Switches Receptacles Circuits ~ . FEES: Valuation $ t/J ISSUED BY Permit Fee Paid $ Date / ?5~V' 7--J...'7-?0 r Park Dedication $ Final/O.P. \.. ~ 1-. Cot - 'b 1& In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~-#~ R AGENT/OWNER DATE ADDRESS TELEPHONE # , OWNER PERMIT No.d tJ~7~ . APPL. ~ ~~ ELEC. CONTR. ELEC. SERVo DE c. TYPE FIX'S APPLIANCES . taANGE' -t.v-- VOLTS ;:;z..V >- RECEPTi TEMP. AMPS/' C7 C/ CIRC I S >< ADDRESS NATURE OF WORk SIGNS INSP. ROUGHIN EST. COST 7'1 0 C( - REMARKS