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Home My WebLink About0022915-Electric (service change) � _ CITY OF OSHKOSH N°_ 22915 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � ADDRESS a �- ` PLAN NO. OWNER `i� �L`a� -c-�-.-�'�'`^-,r� DESIGNER USE/NATURE OF WORK �"' ` ��- • _ �� BUILDING CONT"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 Electric Serv. New ❑ Change emp ❑ Type "�" Volt�� Amps l°-� . � � 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 1 � FEES: Valuation �Q Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date �` � ` l Final/O.P. � — �! `�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� "P GENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � � �� APP'i:,. DATE � � � w ELEC. CONTR. OWNER � y'-`� � � � ` ADDRESS �� 1 NATURE OF WORK � ELEC. SERV. N W CHANGE TEMP. DESC TYPE G'� —w VOLTS � 4 AMPS � FIX' S SW' S RECEPT'�S CIRC' S APPLIANCES ��- , . , SIGNS � `� INSP. ROUGHIN S ERVI CE ' l F INAL � �/`9�` EST. COST �c' / PERMIT FEE ° DATE PD 5�/�'`�� REMARKS �