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Home My WebLink About0034043-Electric (service change) � �� CITY OF OSHKOSH N°- 34043 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � � ' /`� ��, � �'��1 (%l�F , PLAN NO. OWNER /�� T DESIGNER USE/NATURE OF WORK ��"�-s'� �``--�r�`''�� `� .�.� ��9 . �'/-/. T� . �<� . /�-o�I . o, h� . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR ��'� �`��J'�� sN � - i3° �� Electric Serv. New ❑ Change � Temp ❑ Type��-� Volts� Amps� Fixtures Switches Receptacles � 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 ��j � � FEES: Valuation $ � � Permit Fee Paid $ s� Park Dedication $ ISSUED BY Date � Z� —! � Final/O.P. �T' —� In the performance of this work I agree to orm all work pursuant to rules governing the described construction. � SIGNATURE F �� AGENT/OWNER DATE ADDRESS TELEPHONE# - �' PERMIT NO. � � � . APPL. ATE 'y � �� / ' ELEC. CONTR. �Z � " �� OWNER ��-C _� � ADDRESS C.� ` � �� l� � � NATURE OF WORK ; ELEC. SERV. I�1EW CHANG TEMP. DESC. TYPE Z,-3� �� '-`�� VOLTS 1� -�'-f0 AMPSf O� FIX' S SW' S RECEPT' S �'` CIRC' S.� APPLIANCES L- S I�GNS INSP. ROUGHIN S ERVI `f `i ' F INAL � 9-y� EST. COST Dd�-� PERMIT FEE .sd � DATE PD.3"��1-q3 REMARKS