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Home My WebLink About0030932-Electric (move outlets) � CITY OF OSHKOSH N°- 30932 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � �� f�S '�' PLAN NO. OWNER "��1��Q �,Hl DESIGNER USE/NATURE OF WORK ��'I �'3�-P-- ��_ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height : Foundation Class of Const. Occupancy Permit r HEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR / 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 � d �— d �- FEES: Valuation $ ' �J Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date / �'��✓��Final/O.P. In the performance of this rk I agree to perform all work pursuant to ru�es governing the described construction. SIGNATU E �`� C� AGENT/OWNER /� DA E ADDRESS � ��`` �� TELEP ONE N �