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Home My WebLink About1987-Electric (service change) � CITY OF OSHKOSH N°_ 05879 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC j�' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �� 1/`� � ' v� �� L��--- . PLAN NO. OWNER v� �S1[� • DESIGNER USE/NATURE OF WORK �u ��CL � � �� 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 CONTRACT(�R �� `ZG C,, r. Efectric Serv. New ❑ Change�Temp ❑ Type Volts Amps��t� � Fixtures Switches Receptacles Circuits . r 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 $ � Permit Fee Paid $ ��•� Park Dedication $ ISSUED BY Date�� ! `�� FinaVO.P. ! `"o�! ` d In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� —� ' AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � � �� . APPL. DA E ! �O o � ELEC. CONTR. > OWNER � ADDRESS '� GL' - NATURE OF WORK � � ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE - VOLTS �- a y AN�S -Z o FIX' S SW' S RECEPT' CIRC'S APPLZANCES SIGN INSP. ROUGHIN SERVIC - - FINAL " EST. COST C�G PERMIT FEE ATE PD �/ - REMARKS