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Home My WebLink About0013275-Electric (a/c) � CITY OF OSHKOSH No 13275 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ADDRESS �� C/��a�+r� PLAN NO. OWNER � Q 1nr j`3;1�1] � rg DESIGNER n i USE/NATURE OF WORK („d�h��o�� 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 F FI FC'TRI(' (�nNTRAC'T(�R Q' `C /'1 �c �I�C� � 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 $ ` �—_ Park Dedication $ ISSUED BY Date �—�� —G',� Final/O.P. / —/ � �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU � AGENT/OWNER DATE ADDRESS TELEPHONE# �:�„�.x.�s-�.�,��,�,s� 7 C/� PERMIT NO. �`� , APPL. D E �� —�'" ELEC. CONTR. �� u _ OWNER z�'�-•G�, ` I ADDRESS �� -" ��L:�-Ly�c�t�yi --• NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S �j^1' S `-�_ RECEPT' S CIRC' S � APPLIANCES SIGNS INSP. ROUGHIN SERVICE FII�tAL - � EST. COST �d PERMIT FEE �J DATE PD. �,�"-!i F�� REMARKS