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HomeMy WebLinkAbout0046032-Electric (misc) �v/ Z � CITY OF OSHKOSH N° 46032 PERIIAIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �f 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 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 FEES: Valuation ��� � � Permit Fee Paid $ ��° � Park Dedication $ ISSUED BY Date � l� 7 �---5'r Final/O.P. 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 M