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Home My WebLink About0001897-Electric /� CITY OF OSH KOSH N° 01897 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS °S/ " G� ' �� PLAN NO. OWNER L��, 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 ` ` Electric Serv. New [�Change ❑ Temp ❑ Type.7� Volts G Amps '�U 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: Valuatio $ ��U� Permit Fee Paid $_ ��-- Park Dedication $ ISSUED BY Date !� `��/� Final/O.P. �f — 7"–O � In the performance of this work I agree to perform al� ork pursuant to rules governing the described construction. : SIGNATURE �� ,�` EN R ' DATE ADDRESS TELEPHONE# PERMIT N0. L' l � 7 � APPL. DATE �� l " o � ELEC. CONTR. �Gt� OWNER ADDRESS ��f �— w �� NATURE OF WORK c. ' ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE !� --W �- �j VOLTS /v� �f-�`� AMPS f�4 FIX'S � SW'S �~ RECEPT S tx CIRC'S� ` � APPLIANCES � '� SIGNS � INSP. ROUGH NO/�-!a j��b SERVI E •/0�30- �i r INA EST. COST �f�0 ✓ PERMIT FEE 7�� DATE P - � REMARKS � — — � � + 1�i/'� �� , .,Q.�� / - �-- �� _