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Home My WebLink About0032148-Electric (service change) � CITY OF OSHKOSH N° 32148 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. OWNER ✓ e� � '� c� �✓ � I DESIGNER USE/NATURE OF WORK ey 4 �GC � � �+�C o (J i li�� I �y► � � � � �� BUILDING CON7RACTOR , i� r � y ��• 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—��•��'��r �{ ��r�f�� C * Electric Serv. New ❑ Change � Temp ❑ Type� Volts� Amps�U Fixtures � Switches � Receptacles X 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 $ �S V a Park Dedication $ ISSUED B Date ��'�"� - 9�— Final/O.P. In the performance of this work I ag ee to erfor al work pursuant to rules governing the described construction. SIGNATURE (� r" � �� AGENT/OWNER DATE ADDRESS�/,�� '� r � V ��'(i! D�� 7 �h �3 �� TELEPHONE# � PERMIT NO. �0�i �� , p�ppL. DATE �� —�� ELEC. CONTR. ;��=a� '" . ; .l � . ." - � � OWNER , � '�DDRESS � `- �'�` �` � � � NATURE OF WORK i � `'�"'__ � � EC. SERV. NEW ��G'— I DE C. TYPE � � 3 �- VOLTS '� �- c�p �g �,c4v � FIX' S SW'S � RECEPT' S CIRC'S .� � APPLIANCES � � ' SI�GNS j INSP. ROUGH N SER ICFO" �— -9 FINAL �� EST. COST � SDd// pE�IT FEE , S-- DATE PD✓� � �'�' REMARKS ; - i - -�-1`� ,�.g-� .