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Home My WebLink About0037993-Electric (receptacles) (�/� N°_ 37993 � _ CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 7`'S�/�r ,d,�� S�� PIAN NO. OWNER L�Cl�'� �,� 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 CONTRACTOR—."1,� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches 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 $ �a•O o Permit Fee Paid $ /0.e O `� Park Dedication $ ISSUED BY � Date �9�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNE DATE ADDRESS . TELEPHONE k