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Home My WebLink About00526 ELEC (Class M) � � CITY OF OSHKOSH N� 00526 PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG � ELEC�PLBG � SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS_ � � "_' 1.�,/ �• .��GC?,�• � � PLAN NO. OWNER �` — � DESIGNER USE/NATURE OF WORK _,�,.,,.�� 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 CONTRAC R Electric Serv. e Change � Temp � pe Volts ps Fixtures Switches Rece t s Ciro PLUMBING CONTRACTOR —BT _WH _Disp _WSoft —CBasin —Lav _Sh —pW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject _SS Other —Water � FEES: Valuation $ � ��d f" Permit Fee Paid $ Park Dedication $ ISSUED B Date_ ��—�lj Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE#