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HomeMy WebLinkAbout0010082-Electric (service change) /� CITY OF OSHKOSH No 10082 `' PERMIT — APPLICATION AND RECORD . : TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 6P•�6 �'` /�� • PLAN NO. OWNER ��- � • DESIGNER � �� I �� � USE/NATURE OF WORK�i�/-vi�"`�l �--' 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 ' Electric Serv. New ❑ Change [l�femp ❑ Type Volts Amps��'J ' Fixtures y 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 C.� „/� Q G FEES: Valuation $ Permit Fee Paid $ a��S Park Dedication $ ISSUED BY Date �„�6 ` �Final/O.P. O ' �� -- Q� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��� �� AGENT/OWNER DATE � ADDRESS TELEPHONE�