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Home My WebLink About06826 ELEC (Bath) � � /� CITY OF OSHKOSH N° 06826 � `' PERMIT - APPLICATION AND RECORD � � TYPE: BLDG ❑ HTG ❑ ELEC�[ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � / /7'1« C � � PLAN NO. � OWNER �1�i1 C�� r DESIGNER � USE/NATURE OF WORK_�/�G�(-�F��f+-l� � a � � . � a , , BUILDING CONT"RACTOR � Size Sq. Ft. # Rooms # Stories Height ; Foundation Class of Const. Occupancy Permit F • HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S . ELECTRIC CONTRACTOR /�V I ( �I��'' F��F/'%/�� F Electric Serv. New ❑ Change ❑ Temp � Type Volts Amps Fixtures�_ Switches � Receptacles X Circuits�_ ;; i e 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 F al / a � FEES: Valuation $ Permit Fee Paid $ l vZ Park Dedication $ ISSUED BY Date�� Z '� Final/O.P. In the performance f this work 1 agree to pe rm all work pursuant to rules governing the described construction. �- � �i � � SIGNATURE - � �- I Z— � � AGENT/OW R DATE � ADDRESS TELEPHONE# �