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Home My WebLink About0002830-Electric (receptacles & circuits) /� . �CITY OF OSHKOSH No 028�0 `' PERMIT � APPLICATION AND RECORD - . TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� /��_� . PLAN NO. OWNER�I/t� �1�� DESIGNER . USE/NATURE OF WORK '��-� � � l'�//o'.� : 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 ,�� f ELECTRIC CONTRACTOR 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 $ ermit Fee Paid $—,�� Park Dedication $ ISSUED BY Date ,� —`�— �� Final/O.P. � `! `� / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � l� AGENT/OWNER DA ADDRESS TELEPHONE# .