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Home My WebLink About0037013-Electric (misc) (o/ � CITY OF OSHKOSH N° 37013 � PERMIT - APPLI ATI C ON AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - -�-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ` //�¢� PLAN NO. OWNER �..t�C�J�u/� ✓ 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 //�4'�M� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures � Switches � Receptacles ,�— Circuits �r 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 $ �� ° a Park Dedication $ ISSUED BY Date �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c SIGNATUR I /1 � AGENT/OWNER DAT ADDRESS TELEPHONE#