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Home My WebLink About0010102-Electric (service change)/`'~ _CITY OF OSHKOSH N° 10102 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC [~'~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ------------- ----------------------------------------- ADDRESS ~Ta _ ~ `" ~~~ PLAN NO. ~^, OWNER DES USE/NATURE OF WORK 'C.~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR _ (~ Y , Electric Serv. New ^ Change'~femp ^ Type Fixtures t Switches '-~ Receptacles Volts Amps ~' -~~ ~rcuits PLUMBING CONTRACTOR - BT - WH - Lav - Sh - WC - FDr -Sink - LTub Other -. Disp - DW - SP -Eject - WSoft - DF - Ur - SS - CBasin -San. Sewer_ -Storm Sewer - Water /' v ;~ FEES: Valuation $ ! ~~~`-i~permit Fee Paid $ ~~© `-Jp~- Park Dedication $ ISSUED B Date ~ Z 6 r° ~ Final/O.P. ~''~'--S - S~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ Z~ ~~ AGENT/OWNER DATE ' ADDRESS TELEPHONE # I\W^ W I