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Home My WebLink About0032390-Electric (remodel) � �� /� CITY OF OSHKOSH N° 32390 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �' PLAN NO. OW N ER ��" `!.:�� DESIGNER USE/NATURE OF WORK � Y1��1�-� � 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 ' t � -� t- • Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures�� Switches ,k Receptacles � Circuits ,�C. 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 'j 0 FEES: Valuation $ / �� Permit Fee Paid $ ��!_ Park Dedication $ ISSUED BY Date L � � ` � Final/O.P. In the performance of thi r I agree to perform all w rk pursuant to rules governing the described construction. SIGNATURE ' AGE DATE ADDRESS TELEPHONE� � � p `� _ �j � � PERMIT NO. � � � ! v . APPL. DATE `�l� -/� � � :� ELEC. CONTR. � � OWNER �2�/- � � 'ADDRESS D� ^ ` n ' � � NATURE OF WORK � � �ELEC. SERV. NEW CHANGE TEMP. � D C. T VOLTS AMPS � FIX' S i SW' S RECEPT' S , CIRC'S � APPLIANCES � l � SIGNS � � INSP. ROUGH N SERVICE FINAL � � EST. COST �d -� PERMIT FEE .3 5 f"- DATE PD.1/'f`j� � REMARKS � � � � � � i