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0004004-Electric (garage)
/, ' , CITY OF OSHKOSH N° 04004 �' • PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �G � ��_ � �� PLAN NO. OWNER �� ,���q DESIGNER USE/NATURE OF WORK w ' 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 CONTRACT�R � � Electric Serv. New [�Change ❑ Temp ❑ Type Volts Amps Fixtures � Switches �� Receptacles �l Circuits v ,��� � 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 $ Permit Fee Paid $ C� Park Dedication $ ISSUED B Date � �� — C) / Final/O.P. � ` � — �/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .� AGENT/OWNER DA ADDRESS TELEPHONE#