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Home My WebLink About0002342-Electric (service change) � _ CITY OF OSHKOSH No _ 02342 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �- � G—' '/� - �� / I '" � PLAN NO. OWNER �� e� DESIGNER ��y-� j� USE/NATURE OF WORK �� U G�� C--w 1F� � ��I-�- S - 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 C�NTRACTOR ��'1-� `S�G ��-�f � c'/�-�-C. . � Electric Serv. New ❑ Change�Temp ❑ Type Volts Amps�—Od , 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 FEES: Valuation $ � Permit Fee Paid $ �,� � Park Dedication $ ISSUED BY Date 7� _��—�� Final/O.P.�� —,� �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �"-`` ��cZ � 1�—/V—��n AGENT/OWNER DATE ADDRESS TELEPHONE N ' L� Z C � PERMIT NO. � �� ` . APPL. DATE �� -� ` � � � � ELEC. CONTR. �.� � � /� � � OWNER "✓ �� ,�c � � � �/,� �� `-' _ �%��'� � ADDRESS g � NATURE OF WORK � �; � / -�tr� -, - � � ELEC. SERV. NEW CHANGE TEMP. � DESC. TYPE .�- 3 !� 3- '-�- VOLTS!L ��o AMPS 1-�� FIX' S SW' S RECE ' S � CIRC'S � � ; APPLIANCES , 0.,0 � # i � SIGNS t � INSP. ROUGHIN SERVICE -'�- ►-� -�b F INAL /-1 g ` � EST. COST Gt� PERMIT FEE 5� DATE PD. 02/D-`6(o � ? REMARKS � � , �� ; i i E � r