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Home My WebLink About0000277-Electric (service change) � CITY OF OSHKOSH No _ 00277 `' PERMIT — APPLICATION AND RECORD ., TYPE: �LDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � �` � PLAN NO. � � OWNER DESIGNER USE/NATURE OF WORK _�_ � /v 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� emp ❑ Type�w Volts � Amps�p Fixtures Switches Receptacles Circ its � �-�a - PLUMBING CONTRACTOR —BT WN —Disp —WSoft —CBasin —Lav —Sh —DW —DF —San. Sewer _WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other � FEES: Valuation $ � Permit Fee Paid $ �-�•� � Park Dedication $ ISSUED BY Date� —� ��a� Final/O.P.� � �-Z � �� In the performance of this work I agree to perform a work pursuant to rules governing the described construction. SIGNATURE �� ' A NER DATE ADDRESS TELEPHONE#