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Home My WebLink About0016827-Electric (rewire & service change) � CITY OF OSHKOSH N° 16827 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� -s� ��• PLAN NO. OWNER (�i�. ��,�/J r,��i(� DESIGNER USE/NATURE OF WORK P�f�itiJ�-t� d- � 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 �emp ❑ Type b•!1� Volts�b Amps a' /oo rj Fixtures ✓ Switches ✓ Receptacles `i 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 O ��- ..�- C FEES: Valuation $ �� Permit 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 � 3�`a AGENT/OWNER DATE � ADDRESS TELEPHONE#