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Home My WebLink About0009809-Electric (meter setting) � CITY OF OSHKOSH No 09809 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC,�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_T//l_� • / PLAN NO. OWNER �'� C� u DESIGNER USE/NATURE OF WORK S 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 CONTRACT�R c��C C�-�' Electric Serv. New ❑ Change ❑ Temp ❑ Type y��'` Volts l �Amps�_U s�� 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 Date ��5 `O �Final/O.P. ��` 1 � �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE • �� • – AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. G �O � , APP . DATE �~�/ ��U ELEC. CONTR. OWNER �� ADDRESS ` � `#r�/I/ � / �' NATURE OF WORK E EC. SERV. I�iEW CHANGE TENlP. D SC. TYPE - /-t� � r'OLTS �"�-�- ANlP FIX' S SW'S RECEPT'S CIRC'S � APPLIANCES � 3 � SIGNS INSP. ROUGH N SERVI - - �FIN ��-� EST. COST -1-� PERMIT FEE �� DA D - REMARKS � j � �