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Home My WebLink About0008775-Electric (a/c) � CITY OF OSHKOSH N° 08775 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - -�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� • W� �1 � PLAN NO. OWNER �i�s r�x�� DESIGNER USE/NATURE OF WORK �/l� 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 ��C F� �� (Y� C_ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches�,d� Receptacles Circuits�_ ; �i � 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 $ Q�� Permit Fee Paid $ � � Park Dedication $ ISSUED BY Date l� �� `" o � Final/O.P.� ""l S—�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (� G � — ' AGENT/OWNER DATE ADDRESS TELEPHONE# A�, � �.�� 'ra N o � ° .�� N�'�P ��NT ' �� N'�T��'ss � ��s��, �'°� �' .S' �Ar�,� � s� �'o .S' ALj' �`��r' �� AAL ��,S�NS `�►��,� ti�� o 0 �\T A � s s�. � � � '�T�� '�ks ST��y s � �� lN �� , � �� C� � ��. 9 � ��l�c� � � ��s .T. .0 �' S' �'��G�� T� � �� MA � � s • °'�� \ �'Q�, S\ �� T�r�� f � 9 /� �;" �� PERMIT NO. (/ � 7 7S APPL. DATE ✓ '� � ; ELEC. CONTR. ��'2-c. 1 n � OWNER � oQ/ i /y ? ADDRESS .�� - � - ! -�-- 1 NATURE OF WORK e /' ; s.�� ; ; ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS , FIX'S SW'S RECEPT'S CIRC'S� APPLIANCES SIGNS ' INSP. ROUGHIN SERVICE FINAL/,-/S8� ; EST� COST /n D� PERMIT FEE �� DATE PD.�a�-S� REMARKS ; � ? � f