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Home My WebLink About0022499-Electric � CITY OF OSHKOSH N° 22499 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS C PLAN NO. OWNER DESIGNER USE/NATURE OF WORK v�/ `I� r C � BUILDING CONTRACTOR $ize 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� [ ��l Electric Serv. New ❑ Change .�Temp ❑ Type �� Volts�Y V Ampsa�� G 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 / FEES: Valuation $ �0��+ � Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date 3 ` I —< � Final/O.P. 2d In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �2`? , �'�I— AGENT/OWNER DATE ADDRESS TELEPHONE#