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Home My WebLink About0021807-Electric (service change) /, CITY OF OSHKOSH N° 21807 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �2/-3 SG��-�P� PLAN NO. OWNER � DESIGNER � USE/NATURE OF WORK .�� d : 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 �/ �Z �1 � ��c � �"L Electric Serv. New ❑ Change� Temp ❑ Type -� � Volts�� Amps��z� Fixtures�— Switches l��_ 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 r. � . �.� �p FEES: Valuation $ �� Permit Fee Paid $ �`� Park Dedication $ ISSUED BY �,, -a;�G�� Date / � �� -/� Final/O.P. �� S` �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� v �� A T/OWNER DATE ADDRESS TELEPHONE# �