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Home My WebLink About0021944-Electric (violation repair) � CITY OF OSHKOSH N° 21944 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ,� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS C� ""� �T a �r- PLAN NO. �'-��5��.5 OWNER_ � DESIGNER USE/NATURE OF WORK �/C D�—d9-i I d'�!S ��/�� 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 Volts Amps Fixtures Switches Receptacles Circuits v �a�-(��d�-S G�h �_ 1/ 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 . � `t-D�� / FEES: Valuation $ Permit Fee Paid $ 1 � Park Dedication $ ISSUED BY Date �!�.� �` � �� Final/O.P. � � � `yC-' ' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � �'� g d AGENT/OWNER DATE ADDRESS �'L/v �?�� /�'O TELEPHONE# . i � PERMIT 1�70. ! � � APPL. DATE 1 0 �/ `� � �� C�'t.c1� r ELEC. CONTR. i � ' OWNER ; � � � � ADDRESS %�� a NATURE OF WORK ; J � � z'T EC SERV NEW CHANGE TEMP. " D C. TYPE VOLTS AMPS ` FIX' S �_ SW' S ' RECEPT' S IC CIRC' S l� APPL ANCES ' SI�GNS ! INSP. ROUGHIN SERVICE FINALf1��—S'� ; EST COST �� PERMIT FEE�Q— DATE PD/��'m 3 REMARKS ;