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Home My WebLink About1987-Electric (a/c) CITY OF OSHKOSH N4 04507 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (1,10 /V I COK� / PLAN NO. OWNER �o C T (Jd'�--S . DESIGNER /' (� USE/NATURE OF WORK �� -�� -r i "f � ��C-`��'✓�• BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S S i _J_. ELECTRIC CONTRACTOR �` �� Gk�� • � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps C�" . i 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 $ �� 6� Permit Fee Paid $ `'�'�� Park Dedication $ ISSUED BY ? Date —/ �� —�! Final/0.P. < '—1 � —�� In ihe performance of this work I agree to pertorm all work pursuant to rules governing the described consiruction. SIGNATURE��a'``Z "�� D " AGENiOWNER TE ADDRESS TELEPHONE#