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Home My WebLink About0019926-Electric (service change) � � CITY OF OSHKOSH N° 19926 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �P LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - (_)_ _ - - - - - - - - - - - - - - - - - ADDRESS �/�°Z L��U v�- ��— PLAN NO. OWNER � �'C DESIGNER USE/NATURE OF WORK C �� /�� BUIIDING 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 L.�� Electric Serv. New ❑ Change,�Temp ❑ Type� Volts�`��Amps�Q ' Fixtures 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 FEES: Valuation $ - �� Permit Fee Paid $ ��_ C� / Park Dedication $ ISSUED BY Date��(��d Final/O.P. �`��_�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 2� U� �-z--( L� /� l � AGENT/OWNER DATE ADDRESS TELEPHONE#