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Home My WebLink About0030276-Electric (fixtures & switches) � : /� CITY OF OSHKOSH N° 30276 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS—_ - �/� �Y C"G'` ' °�i PLAN NO. OWNER O �/1 !/� P � DESIGNER USE/NATURE OF WORK �/� �l-✓`/ ,,�� T�L� �:f(Nl� �i 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 CnNTRACTnR �l/ ,��°� L/(' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps ' " 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: Valuation $ � ��/ Permit Fee Paid $ < � Park Dedication $ ISSUED BY ✓�`�f Date �-l �`�� Final/O.P. �-� �`-/� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / Z� . AGENT/OW R DATE ADDRESS TELEPHONE� - PERMIT NO. / `�' � �i� , �PL. DATE � +�S`y Z ELEC CONTR ��%GCv� L�� OWNER ADDRESS �C � � � ` NATURE OF WORK �� SERV NEW CHANGE TE�• E VOLTS S : FIX' S SW'S RECEPT' S OC CIRC'S APPLIAN S : IGN N P. ROUGH N SERVICE FIN / � � EST COST -�� PERM T FEE l -- DA PD. - R�nR�CS I