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Home My WebLink About0007271-Electric /� CITY OF OSHKOSH N° 07271 = `' PERMIT - APPLICATION AND RECORD t TYPE: BLDG ❑ HTG ❑ ELEC �BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT t - - - - - - - - -�a- - - - - - - - -.�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER '�' �� C-��z..� � DESIGNER � t USE/NATURE OF WORK i�s%�-j`��" _-"-�`—'�- 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 j Electric Serv. New [�hange ❑ Temp ❑ Type� Volts � �Amps Fixtures � �J Switches �� Receptacles L_ Circuits— ` t 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 0 FEES: Valuati $ Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date,� ' o` �O Final/O.P. 3� �'�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ,/�� i SIGNATURE ` � � 2- �F d AGE E DATE ADDRESS TELEPHONE# � ; � _ PERMIT NO. � �� / . APP . DATE /� �� U Cr ELEC. CO TR � � '�C� 2-� OWNER �i� i��Gti � 'l� " ADDRESS L/`� � f ��''�� NATURE OF WORK E EC. SERV. NEW CHANGE TE1�. DESC. T E �� - '�.-- - V� VOLTS ?�' �' ��' AMPS �'l' FIX' S �L' RECEPT'S CIRC'S AP LIANCES � �, SIGNS INSP. ROU�HII� - '�- '- SERVICE - - - �FFINAL �� - t � EST. COST D PERMIT FEE S - DATE PD -� -�6 REMARKS � , �.