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Home My WebLink About0011170-Electric (garage) � CITY OF OSHKOSH No 11170 `' PERMIT — APPLICATION AND RECORD . : TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - -� � - - -��- - - - - - - � ADDRESS �� PLAN NO. c OWNER � DESIGNER < USE/NATURE OF WORK ��' BUILDING CON7RACTOR 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 ❑ Te ❑ Type Volts Amp Fixtures ! �witches �eceptacles—� 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 $ v �rmit Fee Paid $ �� Park Dedication $ ISSUED B Date ll —�—� Final/O.P. /!"�Y�B 8 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE�� C�C�.t� � � �� AGENT/OWNER ATE ADDRESS r � � �h�c1��cs 4� J.J� �/0 7� TELEPHONE# � E PERMIT NO. � , APP A E `-� G� O � ELEC. CONTR. . � OWNER � ADDRESS �Ol � `� ° NATURE OF WORK ELEC. SERV. NEW CHAN TEMP. DESC. TYPE VOLTS AMPS FIX' S �_SW' S c�� RECEPT' S �� CIRC'S°C � APPLIANCES � � SIGNS � INSP. ROUGHIN SERVICE FINAL - - �9 � EST. COST � d D PERMIT FEE �� DATE PD./ ' � . REMARKS � , �