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Home My WebLink About0034551-Electric (a/c) �/� /� CITY OF OSHKOSH N°_ 34551 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �lo � l �/�- PLAN NO. t � OWNER C I�i��I.UC I Q/J�..S 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 L�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps ' Fixtures Switches � Receptacles Circuits� PLUMBWG 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 $ 1�- � Park Dedication $ ISSUED BY Date (,� �—�� Final/O.P. �P � 3 �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �- � c � � [ ��c,3 AGENT/OWNER DATE � ADDRESS TELEPHONE# , _ ,;.�,�_. . , PERMIT NO. � �� / . APPL. DATE (_0 � � �' / _� > �� ELEC. CONTR. ✓j �' "- ` ` OWNER �L��i�c-��i� ADDRESS `�3� � - �'`"r`�� NATURE OF WORK FTEC SERV NEW CHANGE TEMP. • D SC. TYPE VOLTS AMPS FIX' S SW' S RF.C'F.PT'S CIRC'S APPLIANCES S I�GNS INSP ROUGHIN SERVICE FINAL �� ' y� EST COST 3-G' � PERMIT FEE G/ DATE PD.�e-3-9� REMARKS