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Home My WebLink About0014906-Electric (repair service) � CITY OF OSHKOSH N° 14906 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� `' V" • � / T N �1 � C� � PLAN NO. � I OWNER ��) `1 � -� C /l b'/ S ��7 S C�li� DESIGNER USE/NATURE OF WORK ` \ � a �✓t 4 d /-�' � � �..5 '�✓ V r ( BUILDING CONI'RACTOR 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 , L–/�`�/ i!'� l �L'✓� • �2y �,f Electric Serv. ew ❑ 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 � oC Permit Fee Paid $ �`� �� Park Dedication $ ISSUED BY �� Date -� -�`^ Final/O.P. / ` �_�Q�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . , SIGNATURE �` � ��— � �r AGENT/OWNER DATE ADDRESS � ��v �p 7 TELEPHONE#