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Home My WebLink About0026411-Electric � CITY OF OSHKOSH N° 26411 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC '� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �D/ �• �� PLAN NO. OWNER � DESIGNER . r USE/NATURE OF WORK ��[�(J 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 CONTRACTOR �j Electric Serv. New ❑ Change �Temp ❑ Type��Nolts�O�da Amps� • Fixtures� Switches �eceptacles ��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 / K'.. � FEES: Valuation $ � � ��1 Permit Fee Paid $ + ` Park Dedication $ ISSUED BY Date� �— ,�� Final/O.P. �"'�—4 a In the performance of this work agr to perform all work pursuant to rules governing the described construction. , SIGNATURE � J � � AGENT/OWNER D ADDRESS � TELEPHONE� � � � � �� l / G�' �� _y € � PERMIT NO. / , APP . DATE ! � � � � ELEC. CONTR. � � ,�/ t OWNER !V' � � �� , - � � € � ADDRESS � � NATURE OF WORK � � . SERV. NEW � CH GE 'I'EMP. ` � C. TYPE — d -�✓ VOLTS � s-�O AMP O O � g F�Ts' S � S ' S � RECEPT S � CIRC'S D�_ � � L AN S � � I�� / � INSP. ROUGH N m/�( ^ -� ° S ERVI CE� ' • ' ' F IN - - � EST. COST � ` PERMIT FEE 8'S-� DATE D./.2` � E REMARKS ' � � s � / - ' / �