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1991-Electric (a/c)
/`'� CITY OF OSHKOSH N° 23780 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - ' - - - - ' - - ' - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �/ '! �' /��!�- PLAN NO. �, � OWNER DESIGNER USE/NATURE OF WORK � �� 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 C "Gi� Eleciric 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 Othar J FEES: Valuation $ Q � Permit Fee Paid $ ��—/%� �i� Park Dedication $ ISSUED BY Date �! ��� `l� Final/0.R l� "—���/� In the periormance of ihis work I agree to pertorm all work pursuant to rules governing the described construction. � l �/ ��1 SIGNATURE_ ��S [`���C- �l � '-�V ' �� AGENTiOWNER 0ATE ADDRESS TELEPHONE#