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Home My WebLink About0018564-Electric (service change) . /� CITY OF OSHKOSH N° 18564 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `°� '� �✓ � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ` �? �;c, .— � b C� � 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 I � Electric Serv. New ❑ Change Temp � Type �� Volt�� -?YnAmps �/�� 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 a� FEES: Valuation $ �� '-J"�permit Fee Paid $ �� Park Dedication $ ISSUED BY � ._ �� Date_ , Final/O.P. — ��^��--�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE - � -(� G � AGEN /OWNER �L �O DATE ADDRESS TELEPHONE# � C c � � PERMI T NO. �/ � . AP L. DATE � �/ �� . � � ELEC. CONTR. � �� c k OWNER � P,DDRESS �( � � � � � 7�� NATURE OF WORK � C. SERV. NEW CHANGE 'I'EP'1P- DES�' TYPE� — � 3�- VOLTS !r� �,.-� AL�S o FIX' S SW' S RECEPT S CIRC'S APPLIANCES � � .GN INSP. ROUGH N SERVI • ' G`� F INAL % 9d EST. COST 4-� PERMIT FEE 4��DATE PD. -��q1' REMARKS t � � I