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Home My WebLink About0023080-Electric (service change) � CITY OF OSHKOSH N°_ 22380 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK '"� �,l�— : BUILDING CONT'RACTOR 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 "� Electric Serv. New ❑ Change [�Temp ❑ Type�.6�- Volts Amps�dd (� �f�- 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 � ��f_ �'' Park Dedication $ FEES: Valuatio $ Permit Fee Paid $ �/�' _ J ISSUED BY � Date 2 ` � � / Final/O.P. ,� `l�� In the performance of thi r I agree to perform all work pursuant to rules governing the described construction. SIGNATURE - JL AGENT/O� DATE � ADDRESS TELEPHONE# � �i � � PERMIT NO. � �� . APPL. DATE °2 �� / / � ELEC CONTR ��-� � � � � OWNER �� . "�/I/1 ADDRESS T� / � �� '" '' ' NATURE OF WORK LEC. SERV. NEN CHANG TEMP. DESC. TYPE - -4/VOLTS 1�' > �'U Ai�S O FIX' S SW' S RECEPT' st CIRC' S ,�C � � APPLIANCES � E � � SIGNS � INSP. ROUGAIN SERVICE - FINAL2 �'� EST. COST �O m -� PERMIT FEE .� D ��ATE PD.�.,� `Y/ � REMARKS � � � � � €