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Home My WebLink About0020079-Electric (remodel) � CITY OF OSHKOSH N° 20079 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC/J� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �� ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � w � PLAN NO. OWNER DESIGNER . USE/NATURE OF WORK��. ��!k�"�(a�K��.� BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit , HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S il ELECTRIC CONTRACTOR " Electric Serv. New ❑ 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 y�tr—s�G�r'ZP��_ c FEES: Valuation $ —� Permit Fee Paid $ � � �— Park Dedication $ ISSUED BY Date � ! �-2 �Q Final/O.P. a ��"�—�� In the performance of this work I agree erform all work pursuant to rules governing the described construction. SIGNATURE V � ` � T/OWNER DATE , ADDRESS TELEPHONE#