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Home My WebLink About0000915-Electric (service change) � _ CITY OF OSHKOSH No _ 00915 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ` v`� � �� PLAN NO. OWNER DESIGNER ' USE/NATURE OF WORK �� ' . � � ` G 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 � 0 Electric Serv. New ❑ Change� Temp ❑ Type W Volts�j Amps �d 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 $ ` v� Permit Fee Paid $ v �—^ Park Dedication $ ISSUED BY Date � — o —n� FinaVO.P. ��`a3`�� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER DATE � ADDRESS TELEPHONE#