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Home My WebLink About0027128-Electric /� CITY OF OSHKOSH N° 27128 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [��LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Z�� "— � Z G � � PLAN NO. OWNER c�-��-e�+�' ►� ' _./1 � � 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 hange ❑ Temp ❑ Type� Volt ! � Am�s Fixtures L�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 OG' t- c�� FEES: Valuation $ �� _ Permit Fee Paid $ �7 � '�^ Park Dedication $ ISSUED BY Date� -7 �!iZ Final/O.P. _ l��'1(� �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. : . SIGNATURE � �� '"—��— WNER DATE ADDRESS ' TELEPHONE# -