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Home My WebLink About0026517-Electric (service change) � CITY OF OSHKOSH N° 26517 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 'i� / �"J PLAN NO. , / � /' OWNER ��e/J� �f-<'{�i �Yi iit c %/`GuS DESIGNER USE/NATURE OF WORK -S��U(c .� C�j��4 4.ci_ 3^G� TG ,� ^�oo 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 O `j � Electric Serv. New ❑ Change �emp ❑ TypeJ� � Volts/�?�!Q Amps °� ' Fixtures Switches Receptacles L--- 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 � m r- � FEES: Valuation $ � � Permit Fee Paid $ � .5 �� Park Dedication $ ISSUED BY Date �•2— � —�� Final/O.P. / �— � `--�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� " `�j AGENT/OWNER DATE ADDRESS TELEPHONE# �