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Home My WebLink About0028397-Electric (a/c) /� CITY OF OSHKOSH N° 28397 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ;� ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - -��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 � � ADDRESS I �� Z � PLAN NO. OWNER ��I �G1( I /YC�I� h�Ur DESIGNER USE/NATURE OF WORK �l� nC�l " y� 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 ' r'1 E' /� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps • 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 c� FEES: Valuation $ � `� �^ Permit Fee Paid $ /��J� Park Dedication $ ISSUED BY - Date ��S—�Z Final/O.P. �—� — �� In the performance of this work I agree to perfor all work pursuant to rules governing the described construction. i SIGNATURE - -��"L� � � l� � AGENT/OWNER DATE � ADDRESS TELEPHONE#