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Home My WebLink About0011462-Electric � CITY OF OSHKOSH No 11462 . ` PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [��LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - -� - - - - - -,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. OWNER `�"' � DESIGNER USE/NATURE OF WnRK , �'�-� 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 �Electric Serv. New �hange ❑ Temp ❑ Type Volts Amps S �� Fixtures �/ Switches Receptacles Circuits `�— ` 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 FEES: Valuation $ � �rmit Fee Paid $ �� ' Park Dedication $ ISSUED B Date !� �� _p � Final/O.P. �'�� In the performance of thi ork I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/ "�U �� AG T/OWNER DATE ADDRESS TELEPHONE M PERMIT NO. �� L� �� APPL. DATE , ��—�� i ELEC. CONTR. (��.'/�'j"l/'�" � ��z--� OWNER ,-UG;%s';� � - � ADDRESS ✓ � � — � NATURE OF WORK � �� ELEC. SERV. NEW CHANGE TEMP. DESC. TY E � � — � VOLTS � � � AMPS ' FIX'S SW'S ,� RECEPT' r�[ CIRC' S� APPLIANCES /� I SIGNS �}— IIQSP. ROUGHINb/�'— "1 � SERVICE - L'" -Er r^INAL��.Z/S�/: � EST_ COST /� �O — pERMIT FEE SD DATE PD.��-�D-BS � kEMARKS � - — --- �: � � � �