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0012079-Electric (service change)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12079 TYPE: BLDG 0 HTG 0 ELECt PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT .. .. .. ... .. .. ... .. .. .. ... .. ... .. .. ... ... .. .. ... .. ... ... .. .- .. .. ... .. ... ... .. .. ... .. .. .. ... .. .. .. .. '.. .. .... .. .. .. .. .. .. .. ... ...;... ... .. .. .. ... .. ... ... .. .. .. ... .. , rf)lSfr)J:lce.< mil? -c~,</( ///1 ( " t?;j PLAN NO. ADDRESS OWNER DESIGNER ~V( ci3- eA~e ~-(,o J /00 {f.I:!- 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 ~t/(!YI(t?h<1ya;c( ~~_ Electric Servo New 0 Change % Temp 0 TYP~ Volts ~Amps-,L{.LQ Fixtures Switches Receptacles Circuits ~ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ :2. 0 0 :--- Permit Fee Paid $ ISSUED BY ~ Date 1-- r -77 Park Dedication $ Final/O.P. /;2 - gr ~ %tfi In the performance of thi 0 k I agree to perform all work pursuant to rules governing the described construction. ~~A,,1 p<j SIGNATURE ADDRESS TELEPHONE #