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Home My WebLink About1987-Electric (switches & receptacles) � CITY OF OSHKOSH N° 06221 `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER ! � 9-" 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 � ---v P f._ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 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 FEES: Valuation Permit Fee Paid $ �-- Park Dedication $ ISSUED BY Date ��`�� CL TCl"— d � � Final/O.P. In the performance of this work I agree to perform all work pursuarit to rules governing the described construction. SIGNATURE I/ // G T/OWNER D E - ADDRESS TELEPHONE# : PERMIT NO. � � �O� l . AP . DATE ` �` ELEC. CONTR. OWNER � � � ~ ADDRESS - " NATURE OF WORK Ft.F.r SERV NEW CHANGE TEMP. C. P VOLTS AMPS FIX'S RECEPT' CIRC'S L AN IGNS INSP. ROU H N SERVICE FIN �- / 7 EST. COST ERM T FEE .�-DATE PD '� - REMARKS �