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Home My WebLink About0037992-Electric (misc) �/v ' CITY OF OSHKOSH N� 3�992 � PERMIT - APPLI CATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `�' 7 2 ��/� � 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 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 FEES: Valuation $ ��a��=� Permit Fee Paid $ �•d � � 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 o? � AGENT/O R DATE ADDRESS . TELEPHONE S