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HomeMy WebLinkAbout0014048-Electric (service change) . � _ CITY OF OSHKOSH N° 14048 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f�� � ��� PLAN NO. OWNER , DESIGNER USE/NATURE OF WORK � —.3 C� 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 . �� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts �� ��oAmps� Fixtures � Switches L� 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 $ r �ermit Fee Paid $ � � Park Dedication $ ISSUED BY Date � .�-�"U� Final/O.P. �� ��_/� � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU �� � — AGENT/OWNER OATE ADDRESS � TELEPHONE#