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0009852-Electric (a/c)
� CITY OF OSHKOSH No 09853 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �� C J�-C�� • PLAN NO. OWNER I� DESIGNER USE/NATURE OF WORK � 1� 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 v�c �-� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches� Receptacles Circuit . 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 $ v Permit Fee Paid $ `*•W Park Dedication $ ISSUED BY Date ��( ����Final/O.P. /� ��s`a a ' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��' ��G� S�� — AGENT/OWNER DATE ADDRESS TELEPHONE N