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0003388-Electric (kitchen remodel)
� _ CITY OF OSHKOSH No _ 03388 : PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELE PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS II�� c 0 d� �, PLAN NO. OWNER� ���/L, �V�l����_ DESIGNER USE/NATURE OF WORK�� 1�`�/t- ���[�- 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 rl''^� �L � �,��r r Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures� Switches� Receptacle 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 $ O0•� Permit Fee Paid $��•� Park Dedication $ ISSUED BY Date �`��v �� Final/O.P. �–����� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � '--'�G�"�c "� O - AGENT/OWNER DATE ADDRESS TELEPHONE# .