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Home My WebLink About0022242-Electric (service change) � _ CITY OF OSHKOSH N°_ 22242 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [vrPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� y►' � . I� PLAN NO. OWNER �CQ , nJ�C�/`'� DESIGNER USE/NATURE OF WORK :� ' O/�� /G' 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 ��'�L ��C�'�'� Electric Serv. New ❑ Change �Temp ❑ Typ� Volts�� Amps 0� Fixtures L� 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� °z� — �� Final/O.P. �Z—z� —/� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE�/�`� �� °2�� 9I AGENT/OWNER DATE ADDRESS TELEPHONE# � � �� Z- . APP . D.�T�� O '� � PERMIT NO. � � ELEC. CONTR. �� . G�j,, ' � � OWNER �'� � � j � � P.DDRESS / � � w � � � �' � NATURE OF WORK _ ___ � EC. SERV. NEW CHAI�IGE TEMP. � � DE C. TYPE �- d -� VOLTS Zv i�o AMPS l o � FIX' S SW' S RECEPT' S� f�, CIRC' S � � APPLIANCES i ; ` E /'��T S � SIVL�S � INSP. ROUGHIN SERVI CE �.-a- � C� F INAL 1'�04 � � EST COST S'd�'=� PERMIT FEE�[� °�- DATE PD./�a��9/ REMARKS � � i � :� � i