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Home My WebLink About0036792-Electric (service change) �� /� CITY OF OSHKOSH N° 36792 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - -��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS c � � � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CON�"RACTOR 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/�� rl/�i�-� i Electric Serv. New ❑ Change� Temp ❑ Type�"� Volts 3�� 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 $ T�a�� , Permit Fee Paid $ ��a Park Dedication $ ISSUED BY Date ��/� �3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' �� j/ "J�- J�- AGE OW R DATE ADDRESS ' TELEPHONE# � �/� . 9:3o r�/Z� ls3 PERMiT NO. 3��z' � APPL. DATE !f� Zlo 9 3 ELEC CONTR �� . � OWNER .«�-�� ADDRESS S �- ' � NATURE OF WORK � . � _ � C. SERV. NEW CHANGE TEMP- � � DESC TYPE O /� VOLTS AN1PS !d � � FIX'S SW' S RECEPT' S CIRC'S � AP LIANCES � � SIGNS � NSP. ROUGH N SERVICE � Z9 FINAL � EST. COST .o PERMIT FEE �� DATE PD.I/ 3 REMARKS � � � � � � t