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0006313-Electric (service change)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06313 TYPE: BLDG 0 HTG 0 ELEC Ii' PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT .. ... ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. -. .. .. .. .. .. .. .. ... ... .... .. ... ... .. ... .. ... .. .. .. .. .. OWNER ~/~ if: :zr;e1VtD PLAN NO. ADDRESS DESIGNER Ch4/1fr ~r 11/ U' -r )1Ij/C/~ .IY3?~#1-- 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 Electric Serv. New 0 Change ~ Fixtures Switches YI~ ~ r 'cr 7f1.~(J J/~- - Temp 0 Type~ Volts;l1f1?J' Amps ~ Receptacles Circuits ~-- PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuati J' C t'J Permit Fee Paid $ ./ Date I /-~O - ~7 Park Dedication $ Final/O.P.; tJ - 7tfJ - t?7 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules govern' g the described construction. ;/tv.! /418,7 ,- DATE ./' SIGNATURE ADDRESS TELEPHONE # ELEC. CONTR. -~~r PERMIT NO. {J ~ } / OWNER ~ ~~~iSOFWO~ " - 4../ IGNS INSP. ROUGHIN EST. COS'!' ~EMARl<S = .' ... .', (J() ~ . -~.., ,~. ',~.. ..... . . ',- ,--",