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HomeMy WebLinkAbout0013742-Electric (service change) � CITY OF OSHKOSH �0 13742 `' PERMIT - APPLICATION AND RECORD € TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � �s' i . ��. ADDRESS PLAN NO. OWNER - "�L ,L�--- DESIGNER USE/NATURE OF WORK � ` ��- � -3 d � - � a � � -�r�,.� - BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat�❑ A/C ❑ Vent ❑ Fuel/System Heat �oss BTU'S FI F(`TRI[` ('(�NTRAC'T(�R � Electric Serv. New ❑ Change [Z�.�Temp ❑ Typ��'� Vofts ����mps ��-`� � � � Fixtures � Switches �eceptacles -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 / / ,r� c� o FEES: Valuation $ ` v � �'�- Permit Fee Paid $ ��f Park Dedication $ z ISSUED BY Date%o '— ���� Final/O.P. � �ll —�/ t _ In the performance of this I agree perform all work pursuant to rules governing the described construction. t/ , . SIGNATURE s ��� � � � � � AGENT WN DATE ADDRESS TELEPHONE#