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Home My WebLink About0006670-Electric (temporary) � CI�'Y OF OSHKOSH N° 06670 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS aa`� `�� PLAN NO. OWNER ��-�C ��C['%=-�r.e� �-e- ; DESIGNER USE/NATURE OF WORK � e BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �HEATING CONTRACTOR r Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp �� Type Volts Amps 6� Fixtures Switches Receptacles Circuits p 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 $ t ISSUED BY Date �� " —�7 Final/O.P. �� .3 � � � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/�Z"'� � � �Z �, NER DATE ADDRESS � TELEPHONE# � � - � � �j PERMIT NO. � �� C% . APPL DATE �o� -,� -� / �/� ELEC. CONTR. (,-G�C�J�Z��' ' C '� OWNER �� /��-�'�i , � , � `� � � `�/�i�Y�--�-�°� ADDRESS � � NATURE OF WORK E EC. SERV. NEW CHAN E TEMP. � DESC. TYPE 3 - �i- - �-, - VOLTS �-?�"�-wz' AMPS ��' FIX' S RECEPT' �.I� CIRC'S�'T � APPLIANCES SIGNS � �-�� INSP. ROUGHIN SERVICEC'� i�� 7 FINAL�� ' EST. COST � C?�` PERMIT FEE ---� DATE PDf1-2�-'�7 REMARKS