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Home My WebLink About1993-Electric (service change) �i3 � /� CITY OF OSHKOSH N° 36122 ; `" PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS �f ��(� . � 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 BTU'S � ELECTRIC CONTRACTOR � /,�,,�, Electric Serv. New ❑ Change,� Tem� Type Volts� Amps L" /� Fixtures 'witches 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 FEES: Valuation $ ��D�� Permit Fee Paid $ d� v d Park Dedication $ ISSUED BY -�-�� Date � y Final/O.P.��Q� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � /�—`� . AGE T/OW R DATE ADDRESS TELEPHONE�