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Home My WebLink About0023316-Electric (service change) � _ CITY OF OSHKOSH N� 23316 . PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ` y ��%� r N �!�'� t PLAN NO. OWNER j�G✓1 �v!�l_-_S ('L DESiGNER USE/NATURE OF WORK � � 4 �L c , � rG �O� L BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Ciass of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �– �� ✓ Electric Serv. New ❑ Change �emp ❑ Type��Volts j Amps `�v 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 $ � � �1� Permit Fee Paid $ �� Park Dedication $ ISSUED BY � Date � `��r` � Final/O.P. T`Z�� In the performance of this work I agree to perform all �ork pursuant to rules governing the described construction. ; c SIGNATURE `� ��C �/ AGENT/OWNER DATE � ADDRESS TELEPHONE#