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0036398-Electric (city rehab - code violations)
k (0 3� CITY OF OSHKOSH N° 36398 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - ,<�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS PLAN NO. /� . OWNER l�G�f.�- `��-'v-U`1 ��T'�- 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 CONTRACTOR /�-,t��C�-- E Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switc es� Receptacles � . 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 $ ��� �� � Permit Fee Paid $ ��� `� � Park Dedication $ ISSUED BY �� Date 1s2�� 9-� FinaVO.P. , In the performan o this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ,��'�-� � AGENT/OWNER TE ADDRESS TELEPHONE#