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Home My WebLink About0038493-Electric (service change) �� /� CITY OF OSHKOSH N°- 38493 `' PERMIT - APPLICATION AND RE CORD TYPE: BLDG � HTG � ELEC�PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ /J .� � J�f�. �� PLAN NO. OWNER � � DESIGNER USE/NATURE OF WORK 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 � C? F�C.GZ(c.c � ,,�,,� Electric Serv. New ❑ Change�Temp � � Type�� Volts 3 W Amps D e ~ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT —WFi .—Disp �WSoft —CBasin —Lav � _Sh ._DW _DF —San. Sewer —WC —FDr —SP _Ur —Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $ ��•d `� Permit Fee Paid $ 31�o � Park Dedication $ ISSUED BY �-�.- Date�_s.//�� q� � Final/O.P. ! � In the performance of this work I agree to pertorm II work pursuant to rules governing the described construction. ,,,�,� , i SIGNATURE � �._ �I(�/�L/` /C� �� AGENT/OWNER DATE ADDRESS TE�EPHONE�