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Home My WebLink About0027612-Electric (dishwasher) � CITY OF OSHKOSH N° 27612 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC e�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - A ADDRESS ? ? �� /� `� � `� � -'/ � � C • PLAN NO. � i OWNER_ _�` �� 4" ��l�l S C< I DESIGNER USE/NATURE OF WORK ��'( �t �� r �F �' 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 CONTRACTOR�'� � �� '< <- ��'''/_� 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 FEES: Valuation $ � �"� Permit Fee Paid $ T� �—�- Park Dedication $ ISSUED BY Date �"'�j� `��-- Final/O.P. 3 �-�l �Z_ In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. �� . �� SIGNATURE � � L l C c ��"� ' C L " � ' ��" %� � / AGENT/OWNER DATE ADDRESS ,1 TELEPHONE!f � �� ;�5 r „..:_ PERMIT NO. � �� / � � APPL. DATE ��—�D /� , ELEC. CONTR. . OWNER �Y�'''"Z- ADDRESS � �� r ^ NAsURE OF WORK � " �c��C�. ' EL�C. SERV. NEW CHANGE TEMP. DE,C. TYPE VOLTS AMPS FIX' S SW' S RECEPT' S CIRC' S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL� -// -�1. EST COST � �— PERMIT FEE O = DATE PD.3-�r-9'�- REMARKS