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Home My WebLink About0043807-Electric (service change) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (,37 N! 43807 ~P_E~ _ _ ~L~~ .~ _ ~T~ _ C? _ ~~E~ _~ ~~B~ _ C? . ~I~~ .C? _ ~O~~N~ _ _ . _ _ _ _F~~~D_ ~~I~ _ _ _ . _ _ ~~I~~T_ __ _ _ /311 t3~~ ~'~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. H~A TING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S , ELECTRIC CONTRACTOR k ?- Electric Servo New 0 Change ~emp 0 Typf//~ Volts 3a.J AmpsLCJV Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ LTub _ Eject _SS _ Water Other FEES: Valuation $ 7 d tJ ' c::;iJ ISSUED BY~~ Permit Fee Paid $ Date 3I-<<~~ J' v/tlflc; ~ r Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE AGENT/OWNER ADDRESS TELEPHONE 1/