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Home My WebLink About0010713-Electric (service change) � CITY OF OSHKOSH N� 10713 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � �V�. ADDRESS �� / PLAN NO. OWNER � 6 �� /G� 1 DESIGNER , A � USE/NATUR OF WORK ��`v� � � � Y � J 1 - 1 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 FI FC'TRIC' ('(7NTRA('TOR C �� a ��`�-P Electric Serv. New ❑ Change � Temp ❑ Type Volts«�Amps �O 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 / O V FEES: Valuation $ �' Permit Fee Paid $ �� `—� Park Dedication $ : ISSUED BY Date�� / �v Final/O.P. " / — In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � , �� AGENT/OWNER ATE ADDRESS TELEPHONE N PERMIT NO. /� � � PL. DATE �� ELEC. CONTR. � OWNER LJ� �� ADDRESS �/� � � '- � � r NATURE OF WORK E EC. SERV. EW CHANGE TENlP. D SC. TYPE � - �-�-- VOLTS (��' -� �d AMPSI� G FIX' S RECEPT' S CIRC'S APPLIANCES � SIGNS INSP. ROUGHIN SERVICE - FINAL - EST. COST �c' PERMIT FEE 3�=�DATE PD✓/)��`-�� REMARKS �