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0006534-Electric (back room and deck)
� CITY OF OSHKOSH N° 06534 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC PLBG ❑ SIGN ZONING FLOOD PLAIN HEIGHT . ❑ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � ?� v� , PLAN NO. OWNER a�'f D` U1�� � on DESIGNER -�- ` � USE/NATURE OF WORK � � � L,J l � h�' / UN� ���► !3 a � �� �Q o� u � �l ,C�-� � K 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�-r• • � �C �v't c C O/- �l . . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fiutures �'� Switches �- Receptacles L''— 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 !d FEES: Valuation $ �� Permit Fee Paid $ � Park Dedication $ ISSUED BY Date�� —��'O � Final/O.P.�� a�� —D � In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. I NAT � I/ /� S G URE �2 / � AGENT/OWNER DATE ADDRESS TELEPHONE# �