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Home My WebLink About0003201-Electric (boiler) � CITY OF OSHKOSH No 03201 ` ' . PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. OWNER ��/T� L.�[� /L TI S DESIGNER USE/NATURE OF WORK � 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 C�NTRACTOR I o f��-I�I� ��l_ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 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 $ 'f/ Permit Fee Paid $ ✓� Park Dedication $ ISSUED BY Date � �� -� �� Final/O.P. � 2� ��? In the performance o t is work I ree to erform all work pursuant to rules governing the described construction. SIGNATURE �^ �� AGE / WNER DATE ADDRESS TELEPHONE#