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Home My WebLink About0035667-Electric (service change) �� /� CITY OF OSHKOSH N° 35667 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - -P - - - - - - - - - - - - - - - ADDRESS ��b / �/C �� LAN NO. OWNER /.�e�(� ��I�,it. �� //r DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR 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�Temp � Type Volts Amps �� Fixtures Switches �� Receptacles Circuits ✓ /�c. �,�c�,�2,�.�-c 2l��c.�e � ,q��wc,c-e_ PLUMBING CONTRACTOR —BT —WH —DisP —WSoft —CBasin —Lav _gh _DW _DF _San. Sewer —WC —FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $ c� Permit Fee Paid $ �� d v ISSUED BY Park Dedication $ Date � Final/O.P.�� 9 ' 9`� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. , SIGNATURE ¢� AGENT/OWNER u ADDRESS ( v �a . �s � A� �- �,� y/� ��s��3 � /^� � � /� TELEPHONE N l�� / �Z7/� � PERMIT NO. 3 �~b� 7_______ •�PL. DATE � i ELEC CONTR �� € � . � � ' OWNER � ,, �-« �� ADDRESS C��c 1.J � �� NATURE OF WORK � EC. SERV. NEW ZuJ TEP'IP• C. TYPE VOLTS ui /Ze t � AN�S o d � FIX' S SW'S RECEPT'S � CIRC'St�� spPLIANCES � � IGNS '�'" � NSP. ROUGH N /i 3 SERVICE 3 FINAL � EST. COST , PERM T FEE DATE PD. � � REMARKS � � -- �