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Home My WebLink About0009869-Electric (a/c) n CITY OF OSHKOSH No 09869 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � PLAN NO. OWNER C 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 GONTRACTOR ��C�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches_�� Receptacles Circuits� � 5 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 $��7�•� Permit Fee Paid $ `t•�� Park Dedication $ ISSUED BY Date g�l�`— �� Final/O.P. C) rlS — �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �C —/ AGENT/OWNER DATE ADDRESS TELEPHONE N .