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Home My WebLink About0000734-Electric (boiler) /� CITY OF OSHKOSH No _ 00734 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ✓�`– � PLAN NO. OWNER /// /I ///� 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 Gf>/��/�--� f t°� h i� �6r � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches�� Receptacles Circuits—��L /� ��J 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 � 6 FEES: Valuation $ �Q �� Permit Fee Paid $ � �Jf Park Dedication ISSUED BY Date �/ ^� — �� Final/O.P. `�� In the performance of this work I agree to perform all work ursuant to rules governing the described construction. SIGNATURE AG T/OWNER DATE ADDRESS TELEPHONE alE PERMIT NO. �� , APPL. DATE � / � �� ELEC. CONTR. � � � � OWNER -�L ��' � �� ADDRESS GoS-- � � , NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW' S RECEPT' S CIRC' S ,1/ APPLIANCES SIGNS INSP ROUGHIN � SERVICE � FINAL��-8k EST COST �^� � PERMIT FEE��! DATE_ PD.�� -�� REMARKS . �