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Home My WebLink About0007317-Electric (service change) /� CITY OF OSHKOSH N° 07317 `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS _ �� Z�V�— , PLAN NO. OWNER �L L 1'�'� Y DESIGNER r ,�j USE/NATURE OF WORK i'� � " C� � r- `"' � � � ��.�!/1� F.. 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 � ��=- C= �� 1�� °}�l Electric Serv. New ❑ Change�Temp ❑ Typ/��_1�._ Volts Ampso�v� Fixtures Switches Receptacles Circuits �'� r PLUMBWG 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 $ ��L' Park Dedication $ ISSUED BY Date - � — O —O � Final/O.P. .Z � �� —O� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �` � � _� � � AGENT/OWNER DATE �. ADDRESS TELEPHONE#