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HomeMy WebLinkAbout0020307-Electric C■11-p) CITY OF OSHKOSH N2 20307 - PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELECBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 41,6 .�'T PLAN NO. OWNER C e . DESIGNER / �/ USE /NATURE OF WORK t- /T e /yam BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR '' /j Electric Serv. New 'Change El ❑ Type 3/k Volts 0 Amps Fixtures Switches 4/ i Receptacles t Circuits c._■ )00 - 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 V d FEES: Valuation $ ©a `— Permit Fee Paid $ 5` �_ Park Dedication $ ISSUED BY Date / �! — Pe , Final /O.P. 4 "` In the performance of�ork I agree to perform all work pursuant to rules governing the described construction. / SIGNATURE /4 A' 9 / -7 � 'r GENT /OWNER DATE ADDRESS TELEPHONE #