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Home My WebLink About0032252-Electric (service change) /� CITY OF OSHKOSH N°_ 32252 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELE� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� Q�'°��I PLAN NO. OWNER � U�� L� � a DESIGNER . USE/NATURE OF WORK � w 3�'"�sr'Yv/ c � �� ir 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 f G � Electric Serv. New ❑ Change�' Temp ❑ Type Volts� `�mps� �� ., Fixtures Switches Receptacles�— Circuits—�C� PCUMBING 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 $ O��. Permit Fee Paid $ ,�� —_ Park Dedication $ ISSUED BY Date��,��/ �� Final/O.P. ,/ �- –' �� Y�– In the performance of this work gree to perform all work pursuant to rules governing the described construction. SIGNATURE ��v �� AGENT/OWNER DATE � ADDRESS TELEPHONE# � � _ � f � t � �� PERMIT,�I�J. . APPL DATE d ��' �— � � ELEC CONTR ��«- � � . � � � OWNER R � ' ADDR S �` ' � � NATUR OF WORK � 1 ERV. NEW CHANGE TE�• � DESC TYPEeZ - S - w VOLTS lZ/�j-`/` AMPS l4 FIk� SW'S RECEPT S C RC' � P,PPLIANCES � � i ;GN ; N P. ROU ERVICE - IN � 0•-f�2 i � E . COS d ERM T F S�°� DAT PD. 1 a-�'L � R:�:MARKS � � � � k �