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0029744-Electric (a/c)
n CITY OF OSHKOSH N° 29744 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , �� I �� ,�,� . ADDRESS �D� �• �. PLAN NO. OWNER DESIGNER USE/NATURE OF WORK�J�� / ' 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 s�� �l Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps " Fixtures Switches—,�l 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 i FEES: Valuation $ • � Permit Fee Paid $ /�• � Park Dedication $ ISSUED BY� Date � �� �� Final/O.P. 7��^�Z— In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �'� ✓` ��/ � � /� AGENT/OWNER DATE � ADDRESS TELEPHONE# �