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Home My WebLink About0009058-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 09058 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER bOq J-k~h r:lani tafL PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK (!)VV", q~ Jervlce ~/.:sD .3 w J:{"tJI BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S " ELECTRIC CONTRACTOR I C Electric Servo New ~ Change 0 Temp 0 TYPefr- Fixtures Switches V Receptacles V Volts I (,/0 AmpslJ'O ./ ~ 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 ISSUED BY Permit Fee Paid $ 2tJ 2----:; Date ? -/-yy Park Dedication $ Final/O.P. )' -/ t? --% g- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ()Ai ~~ 'I/I/fff ~ AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO.6' Ib-z; ~ . APPL.. DATE S - 3 - g<g ELEC. CONTR.' htd <<~ OWNER ft;h. .~~ ADDRESS .5 t:J Y -- h/~ NATURE OF WORK. . . ELEC. SERVo DESC. TYPE FIX'S APPLIANCES -~ TEMP. AMPS ;;' t'J CIRC'S ~ SIGNS INSP. ROUGHIN EST. COST 0 ~ REMARl<S ;.:';:_~\;"