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Home My WebLink About0025063-Electric (service change) /, CITY OF OSHKOSH N° 25063 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �� -� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /_� str-�t..c C.�1,�^.=.- �Gv �6 �_`� 1;�, lbG 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 EIECTRIC CONTRACTOR F� Electric Serv. New ❑ Change ��mp ❑ Type�!� Volts��la Amps °� Fixtures Switches �-- Receptacles j--- 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 . v � FEES: Valuation $ � � Permit Fee Paid $ �� Park Dedication $ , ISSUED BY L Date � � y _/ Final/O.P. � � �C� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU E �" ^�� —�� AGENT/OWNER DATE � ADDRESS TELEPHONE# i � i � ! � SC�� , 7-�/ 9 � � PERMIT NO. , APPL. D TE � ; ELEC. CONTR. � : . � " OWNER � � i i i i � ADDRESS �� — � s NATURE OF WORK � � � ELEC. SERV. NEW CHANGE TEMP. _ � DESC. TYPE .3 w '�� VOLTS L �%'� A1�S !� � FIX' S SW' S RECEPT' S �J�, CIRC' S A' � s APPLIANCES � � � � ; SI�GNS � � INSP. ROUGHIN S ERVI CE ' — — 1 F INAL — 1`l � � EST. COST 4�� PERMIT FEE.Z V--� DATE PD -2 -t � � REMARKS = s � � � ± � # � �