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Home My WebLink About0027304-Electric (service change) � CITY OF OSHKOSH N°_ 27304 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �� C �.� S - PLAN NO. OWNER /v 1 (y t a -�v? DESIGNER USE/NATURE OF WORK � �� U� � -� 7` // �'1 � ��f`�� BUILDING CON7RACTOR 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/"� � � �� v< �� Electric Serv. New ❑ Change 8--�emp ❑ Type� Volts� � d Amps ��U 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 �- Park Dedication $ FEES: Valuati $ �� Permit Fee Paid $ ��J ISSUED BY Date�z'�Q —�� Final/O.P.�/`l � "" 7 � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE Z � � � Z- � �� AGENT/OWNER DATE �� ADDRESS �� TELEPHONE# � � � � PERMIT NO.� � ` O , APPL. D E ( �6 � � � � E C. CONTR. � � OWNER `� � ; ` �; ADDR SS '� NRTURE OF WORK � � C. SERV. NEW CHANG TEMP• � � ' C. E — 4 �� VOLTS !�-° �+O A1�S v � � FIX' S SW' S RECEPT S CIRC'S � APPL ANCES � a � � ; I'GN � � " NSP. ROUGH N S ERVI CE —� �t ��' F INAL "� � ' �. 3 EST COST / . L'o i PERMIT FEE .�C�— DATE PD.2—�4—Y,Z� # REMARKS � , F � { � $ { f: F � f g