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Home My WebLink About0043944-Electric (temporary) �v�/ N° 43944 � CITY OF OSHKOSH . `► PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING _ _ FLOOD_PLAIN- _ - _ _ . HEIGHT- - . _ - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - ADDRESS a�9 O O �` �O �i 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 CONTRACTOR Electric Serv. New ❑ Change ❑ Temp Type�LL Volts3� Amps'� � Fixtu�es 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 i FEES: Valuation $ �'S'iO� Permit Fee Paid $ ��'° � Park Dedication $ ISSUED BY ` Date 3��/9 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE I