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Home My WebLink About0010083-Electric (a/c) /� CITY OF OSHKOSH No 10083 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [l�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �'� � ' � �`�� PLAN NO. OWNER �-z`'�"°,� . DESIGNER USE/NATURE OF WORK /�/ �� /l � 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��ceptacles 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 O �— O FEES: Valuation $ ✓Permit Fee Paid $ ,�� Park Dedication $ ISSUED BY Date � — 0 6 Final/O.P. /5 —�b _�� 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;Y