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0022265-Electric (service change)
� CITY OF OSHKOSH N° 22265 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ( � �-�I� ` PLAN NO. OWNER DESIGNER USE/NATURE OF WORK � � O 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 �LECTRIC CONTRACTOR ' Electric Serv. New ��iange ❑ Temp ❑ Type�� Volts G4mps� Fixtures Switches Receptacles ircuits 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 ,�/ 0 FEES: Valuation $ r �"�— Permit Fee Paid $ � � Park Dedication $ ISSUED BY Date / .Z�" —� l Final/O.P. � �� 5 "p� In the performance of thisxvork I agree to perform all work pursuant to rules governing the described construction. / ' � SIGNAT RE °��'�rt�'� ����"� AGENT/OWNER DATE � ADDRESS TELEPHONE#