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Home My WebLink About0017018-Electric (service change) � CITY OF OSHKOSH N° 17018 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC Q�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �� -e� -. ��` ` ADDRESS PLAN NO. OWNER • DESIGNER i' USE/NATURE OF WORK � • -- � = 3 - � 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 y`�`YY� Electric Serv. New ❑ Change �Temp ❑ Type Volts Amps �� 2"�v Fixtures v Switches i�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 $ �(O --permit Fee Paid $ �D Park Dedication $ a � (�� ISSUED BY Date f j � �� Final/O.P. /�� — �L�=d 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� WNER DATE ADDRESS TELEPHONE# � � � NO.I � G� l/ . APP . DATE � � � � PERMIT � � E C. CONTR. �r � � OWNER `J i � � � P.DDRESS O�� ` /� — � " � NATURE OF WORK — � . ERV. NEW CHANGE TENIl�• � E __ ��c/ VOLTS �° � 'T � A1�S D FIX'S S 'S RECEPT CIRC' � p,�UT TANCES *A — � � srcivs TNSP. ROUGHIN SERVICE �/�-�5-��'FINAI��f� � EST COST „�G(� PERMIT F'EE �D�� DATE PD. �/�'�90 � R�I�LnRKS ? � � � � �