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Home My WebLink About0017341-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 17341 TYPE: BLDG D HTG D ELEC jZ1/ PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ... '.. .. ... ... .. .. ... ... .. ... .. ... .. OWNER 820 ~Af-f\r:Y S~1 , PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ,5c:~ Lt+Ihr\{~?-- :>0 -rd lOO BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S EI:ECTRIC CONTRACTOR -uJ fTl-~ Cc:. { Electric SeN. New D Change)Zf Temp D Type ~ Volts ~()AmpS fa.-1J- Fixtures Switches Receptacles Circuits ~\I /P-, PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ / ~ 0 () 0 ~ ISSUED BY'"?'?'" ,A(( / Permit Fee Paid $ - <7 <:./ ,/ c;:J ..:::------ Park Dedication $ Final/O.P. / - i .- /<:::1 Date _1 - ( "'-"'. y 0 r e to pe orm all work pursuant to rules governing the described construction. SIGNATURE :r\ -'1'0 DATE ADDRESS TELEPHONE # om1ER '. ~DR'ESS N Arr'UR'E 01' WOR\< EC. S"eRV. DE C. rr"f2E 1'1.~'S ~p!.lI~C'ES SI:~S INSP. ROUGE; N 1!5't. caS't I ^ e 0 V-- R'EMABt(S ) PERMI'! NO. E~C. CON'!R. 1 fi~. ~S 't!J c;t C'lRC' 5 ~. _1(.,/