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Home My WebLink About0033033-Electric (temporary) �� ' � � CITY OF OSHKOSH N°_ 33033 `' PERMIT - APP�ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - -��-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS a`�� PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 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 �/;• ,� �- a • 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 v o� FEES: Valuation $ � � Permit Fee Paid $ �0 Park Dedication $ ISSUED BY Date 3 �.S `< � Final/O.P. � `�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �`r�� ' AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � / C�./ /. APPL. TE 3 -�Z -/ ELEC. CONTR. ��iG�- ' -t= OWNER '�'�� ADDRESS � � � � ~ �/�-�^�� NA'I JRE OF WORK ELFC. SERV. NEW CHANGE TEMP. DESC. TYPE - 4� - VOLTS l2 ' �-� AMPS FIX' S SW' S RECEPT' S D�--- CIRC' S ,,p APPLIANCES ,�=.,,w; �� _ SIGNS C�� c� ` INSP. ROUGHIN SERVI CEL't� 3 '�Z ��1 F INAL �z?i' EST. COST SD '�� PERMIT FEE /o',°-�DATE PD.3-/ti�Y'j REMARKS