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Home My WebLink About0034503-Electric (service change)~~~ CITY OF OSHKOSH N4 34503 n PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~~~ ~~ PLAN NO. .. OWNER DESIGNER USE/NATURE OF WORK~~Q~ ))fir ~-1AyUf-,F 3 CI!) ~Q;(~~jc C'7 7C~ ~ Ll) j~~ ~f~ d 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 ~~~ ~ ~~C'°h2I P . Electric Serv. .New ^ Change ~ Temp ^ Typ Wi Vo1ts~~Amps ~~ Fixtures a Switches Receptacles ~- Circuits ~ PLUMBING CONTRACTOR - BT _ WH _ Disp _ WSoft -Lav -Sh -DW -DF - WC _ FDr _ SP _ Ur -Sink LTub _ Eject - SS Other FEES: Valuatio $ ~ ~ '~ Permit Fee Paid $ ~ ~/ -_ Park Dedication $ ISSUED BY Date ~`~'-<__~_ Final/O.P. ~ _ ~!"( ~_ to the performagc~ of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ADDRESS - CBasin -San. Sewer. -Storm Sewer Water. ~ -Z-9 ~ DATE TELEPHONE ~