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Home My WebLink About045118-Electric tv I `Z� CITY OF OSHKOSH N°- 45118 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Z � w � �� PLAN NO. OWNER /`°'� DESIGNER ! . USE/NATURE OF WORK �t��r /..M.0 ` � �� . � �'�,fi�` —�' ' 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�--�' Circuit� 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 ^ L � Date �� Final/O.P. �T�9�7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE M a � — y � q PERMIT NO. �J ��1 . APPL. DATE � � ELEC CONTR �1-�o��-�� . � � OWNER //'/�u j i . ; �QESS �Y`�-� !.�� `T�. � � NA`t`iIRE OF WORK � 1 � ; F'�C SERV NEW CHANGE _ TEMP. € T�ESC TYPE VOLTS AMPS ` � FIX'S SW'S RECEPT' S CIRC'S E � APPLIANCES g ; € � SIGNS � � NSP. ROUGHIN `� + ti SERVICE FINAL � L� ` EST. COST O • a � PERMIT FEE o DATE PD. 2 1F S� � � REMARKS 2 � _ � t � � ;: � i � � € I