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Home My WebLink About0006627-Electric (service change) � CITY OF OSHKOSH N°_ 06627 `' PERMIT - APPLICATION AND RECORD . TYPE: BLDG ❑ HTG ❑ ELEC ��PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS //� G"'' � � , PLAN NO. OWNER /"' DESIGNER USE/NATURE OF WORK Z'"� s �' 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 � � �1� -�s�o `�,yJ Electric Serv. New ❑ Change [��emp ❑ Type Volts Amps � Fixtures `Switches `� Receptacles --` Circuits `'"— L/�� 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 $ � � Permit Fee Paid $ �,�` Park Dedication $ ISSUED BY Date �� —� � Final/O.P.�� v � �✓ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. r SIGNATURE "�`" _ C�2�-G� 2�'� %L- � l --�1 - � GEN N . DATE ADDRESS TELEPHONE#