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Home My WebLink About0033906-Electric T �� CITY OF OSHKOSH N° 33906 � `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS Q � � PLAN NO. � OWNER J C � DESIGNER USE/NATURE OF WORK � ; � BUILDING CONT"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit r HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . � ELECTRIC CONTRACTOR + � � �� ' / Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps E Fixtures� Switches—�� Receptacles�1� 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 $ �ermit Fee Paid $ �� -� Park Dedication $ ISSUED BY Date �/ y —/� Final/O.P. In the performance i work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 � E /OWNER DATE ADDRESS TELEPHONE# F ` ` 3 .� L �" � PERMIT NO. . APPL. DATE y7'� Z�� ELEC. CONTR. � � OWNER �� \ . .r ADDRE S S�D '- � �[ `�"`` ` 1JATURE OF WORK �`LEC. SERV. NEW CHANGE TEMP. D C. TYPE VOLTS ANIPS FIX' S � S ,�_ RECEPT' S � _ CIRC' S�--� APPLIANCES � S I.� INSP. ROUGHIN �' ��y��.2- � N 3 SERVICE FINAL EST. COST h�DO �' PERMIT FEE 20°% DATE PD.3/9 9,3 . REMARKS