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Home My WebLink About0003094-Electric (service change) /� CITY OF OSHKOSH No 03094 `' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � �� 1-� . PLAN NO. OWNER DESIGN R , ' USE/NATURE OF WORK _ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATII�G CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S 1 ELECTRIC CONTRACTOR , 9 - '�"–�' /za t-�a � Electric Serv. New ❑ Change [��emp ❑ Type --�' Volts Amps Fixtures Switches Receptacles� Circuits—� �� ` / v 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 $ �O �it Fee Paid $ �� Park Dedication $ ISSUED BY �� Date ��1 � �l� �� Final/O.P. � ^ � � �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� L A T/ NER DATE ADDRESS TELEPHONE# � PERMIT NO. � 1 d � APPL. DATE --� - ` ELEC. CONTR. �� • �f�.� - OWNER � "� ' ADDRESS ' - �,� ��, NATURE OF WORK ` ELEC. SERV. NEW CHANGE DESC. TYPE -3 U - �v -O r��OLTS 1�p �..f0 AMPS•/O� ' FIX' S RECEP ,� CIRC' S ,k ' APPLIANCES : SIGNS ' INSP. ROUGHIN SERVICE 3 - .. 8 INAL 3 -��'J EXT. COST �Q0. PERMIT FEE �,f` DATE PD.� -//�� REMARKS ' . ' � �