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Home My WebLink About0030846-Electric (service change) � CITY OF OSHKOSH N° 30846 . `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ` V '' �� PLAN NO. OWNER �� DESIGNER , � USE/NATURE OF WORK �L-- � -�U 3 �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR�% ��,E' £�l� `� �� ' Electric Serv. New ❑ Change ❑ Temp [� Type� �'`� Volts �-Z��I�Amps� Fixtures Switches Rece tacles� Circuits � . , P fl � `�� 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 / , _ --- �.. � _- a.�_ - FEES: Valuatio $ �d � Permit Fee Paid $ -�� Park Dedication $ ISSUED BY Date ,�� —J � Final/O.P. �� 7 ��- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � j� -y�� AGENT/OWN DATE : ADDRESS TELEPHONE N ' i