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Home My WebLink About0024355-Electric (service change)_CITY OF OSHKOSH N°_ 24355 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG E] SIGN F-1 ZONING FLOOD PLAIN HEIGHT ADDRESS V L�� IQ" PLAN NO. OWNER DESIGNER USE /NATURE OF WORK— BUILDING CONTRACTOR — Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR_ Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss ELECTRIC CONTRACTOR Electric Serv. New ❑ Change or Temp ❑ Type_ Fixtures Switches Receptacles PLUMBING CONTRACTOR. BT WH Disp WSoft Lav Sh DW DF WC FDr SP Ur Sink LTub Eject SS Other BTU'S YVAmps Circuits CBasin San. Sewer_ Storm Sewer Water ts.FA,m FEES: Valuation ieci =n av 44 varK ueaicatlonz / J Final /r) P i/� / In the performance of thi ' r I agree to perform all work pursuant to rules governing the described construction. SIGNATURE V"' — AGENT/ WNER DATE ADDRESS TELEPHONE #