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Home My WebLink About0035167-Electric (temporary) ��f . CITY OF OSHKOSH N°- 35167 ' � : PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - lo �3 w 7T" . ADDRESS_ PLAN NO. OWNER �� "" `�TS�� ! Y '�� DESIGNER USE/NATURE OF WORK �� 4��'�-- 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 �• �• Electric Serv. New ❑ Change ❑ Temp � Type� Volts�° Amps �� Fixtures Switches Receptacles Circuits �LUMBING CONTRACTOR —BT _WH —Disp —WSoft —CBasin —Lav _Sh _DW _DF —San. Sewer —WC _FDr —SP —Ur _Storm Sewer —Sink _LTub —Eject —SS _Water Other l FEES: Valuation $ �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date �_�� Final/O.P. (� `'��,_l In the performance of 's work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `�`�I Zif 9 3 AGENT/OWNER D E ADDRESS TELEPHONE# � � � PERMIT NO. � � . APPL. DATE � � � `� � � ELEC. CONTR. � �C.d►'l.Y` 4 OWNER � /� -- w - y�� ' ° ADDRESS � � NATURE OF WORK � � � F�7EC. SERV. NEW CHANGE TEMP- � � D»�' TYPE 3 —w— D VOLTS 7�-_ _ _ A1�S � F7.X' S SW' S RECEPT' S a� CIRC'S Dr' � APPLIANCES �- " � SI�GNS NSP. ROUGH N SERVICE -�� ' FINAL b -� �i� EST. COST �•--"- PERMIT FEE/D DATE PD. _ REMARKS � � - - � � �