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0035106-Electric (service change)
~ 6~y 35106 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 TYPE: BLDG 0 HTG 0 ELEC ~ 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS ;2;;21 - d~/...A- ,;J~ OWNER I~ {J.~~ DESIGNER /' PLAN NO. AA'4.M':'-<:.. C/1.L ~.- 30 - 3' -d7D 0 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 ?~"- C~ ~ Electric Servo New 0 Change ~mp 0 Type --.t:l....lL Voltsl~q -<:1 Y1mps ~ 0 .. Fixlu'es ~ SwITches Receptacles ____ Circuits L~ ~ ,. PLUMBING CONTRACTOR _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink" _ L Tub _ Eject Other _ WSoft _DF _ CBasin _San. Sewer _Ur _ Storm Sewer _SS ~ Water Park Dedication $ /" -:? A - Y-::l Final/O.P. (f;L LV _L ISSUED BY :~::::A:::&~ pu~uam to roles gowming ~e d.~iboo cens;;? b 3 ADDRESS TELEPHONE # 6~3~Y.Y ELEC. CONTR. OWNER ~.21 - ~~; -,4 - 1i-~, ADO~ESS . ATURE OF WORK E E..c. SERVo DESC. TYPE FIX.S APPLIANCES ~l..{O /\~ V TEMP. AMPS /'- CIRC'S Y S I"GNS INSP. ROUGHIN EST. COST REMARKS 19 dtJ t1 SERVICE. PERMIT FEE