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Home My WebLink About0019662-Electric (move meter) � CITY OF OSHKOSH N°_ 19662 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��/�L ��P� PLAN NO. OWNER ,�,� � �"1-�� DESIGNER USE/NATURE OF WORK�6 L� , �/fJ/t . 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 ��„/� / 1 If Fixtures Switches Receptacles Circuits O�.J �1�r�� e- �.�� 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 � / G FEES: Valuation $ _— Permit Fee Paid $ ! �"'—'"'� Park Dedication $ ISSUED BY Date?`,��``l/ FinaVO.P. � � ��` ` C! In the performance of t ' o I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ' U AGENT/ N DATE ADDRESS TELEPHONE#