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Home My WebLink About0001898-Electric (service change) t � CITY OF OSHKOSH No _ 01898 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� "' /�� . PLAN NO. OWNER `�`� � DESIGNER USE/NATURE OF WORK �� "�� • 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 CnNTRACTOR �-�-C� Electric Serv. New � Change [�`Temp ❑ Type Volts Amps Fixtures Switches n Receptacles�— Circuits f�►/� : �� ' 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 b FEES: Valuation $ `��' � � Permit Fee Paid $ ,�4Z "-"�� Park Dedication $ ISSUED BY Date � ` �- a �� FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��Z��C'� �� T/O ER _ DATE ADDRESS TELEPHONE M