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Home My WebLink About0005684-Electric (a/c) n _ CITY OF OSHKOSH N� 05684 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS �� -� /�� PLAN NO. OWNER �L f�/ c� .S+f� E�] (�1� / �e/� DESIGNER USE/NATURE OF WORK (~`��' �)r I2�/ L�.. i I'� BUILDING CONI'RACTOR 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 t'7� G� h ae. E`/�C, Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches L� Receptacles Circuits z-•-'� 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 $ f�� d Park Dedication $ ISSUED BY Date` � �� ,� Final/O.P. �� 'r� —�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _ �j9 SIGNATURT�� /�"{-I'1/�� U/o`t�� AGENT/OWNER DATE ADDRESS TELEPHONE# - � 5`' � � �/'_ Q-�� PERMIT NO.� � APP . DATE O � ELEC. CONTR. -�� ; � . � OWNER _ ADDRESS ! �J ^ � � � NATURE OF WORK � ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS � FIX'S SW'S RECEPT'S CIRC' � APPLIANCES � SIGNS � s � INSP. ROUGHIN SERVICE FINA D;2— � EST; COST .,� PERMIT FEE��,..�DATE PD — -81 ? REMARKS l � � � - � _ f � j 1 � �