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1993-Electric (service change)
~ 3 ~f O CITY OF OSHKOSH N° 34436 ~' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT --------------------------------------------------------- ADDRESS ~ Z ! ~ ~~-~l ~ ~~-~~.. PLAN NO. DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms Foundation # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /.t' / ~a~~ ~^~t ~ ,.. Electric Serv. New ^ Change ~ Temp ^ Type ~ ~ Volts Amps ~ ~ Fixtures Switches Receptacles ~_ Circuits RLUMBING CONTRACTOR - BT - WH - Disp -. WSoft - CBasin -. Lav - Sh - DW - DF _. San. Sewer - WC - FDr - SP - Ur -Storm Sewer -Sink - LTub -Eject - SS -Water Other FEES: Valuation ISSUED BYE d©~ m Permit Fee Paid $ ~~ `-~q Park Dedication $ ~s~ Date ~ ~,~%_ Final/O.P. ~ ,~ .~ ! 3 In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ADDRESS -z~ ~ 3 DATE TELEPHONE #