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Home My WebLink About0016186-Electric . � _ CITY OF OSHKOSH N° 16186 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� l�P�'"`-�'G 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 ��-^—�- /� ,/ ),o Electric Serv. New [��Change ❑ Temp ❑ Typ�f��_ Volts �-v-d Amps ��J Fixtures �witches �� Receptacles i� 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 / a �ti' FEES: Valuation $ a d _Permit Fee Paid $ �o'f_ Park Dedication $ ISSUED BY Date !/ '— Z —�� Final/O.P. �� /-"yJ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � -��'>�� '� GE /OWNER DATE ADDRESS TELEPHONE# s' � - � /' �j / C' PEfi IT NO. (P / �r . P.PPL. DATE ` �~�� .—r � � E C. CONTR. `� � -'� ��" , . OWNER �..-G- -r, /� � ADDRESS � � � � _ ��' ,.��-� NA RE OF WORK �'' . SERV. NEW �- CHANGE TE�- DESC TYPE � -�-' � V VOLTS /�' s �G AN�S �' �' FIX' S SW'S JC RECEP 'S " CIRC'S � APPLIANCES S I�GNS ` INSP. ROUGH N�. ``"'-i- -'% SERVICEc - /l " C '� INAL - ' EST COST ��UO PERMIT FEE �d DATE PD�1)-�-i�% REMARKS -