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Home My WebLink About0016185-Electric (temporary) � � . CITY OF OSHKOSH N°_ 16185 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [G]�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ��" ��"`�� 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 /- � r Electric Serv. New ❑ Change ❑ Temp �/Type��'� Volts /��o Amps Fixtures Switches Receptacles 0� 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 O FEES: Valuation $ � � Permit Fee Paid $ � Park Dedication $ ISSUED BY �� Date `l'� —G' � Final/O.P. 9 �i —�i In the performance of this work I agree erform all work pursuant to rules governing the described construction. SIGNATURE ��`�`/ � �/ � � AGENT NER DATE � ADDRESS TELEPHONE# � � �� L �f PERMIT I�TO.� "' � `--�J . APPL. DATE ---��- - ` � ELEC. CONTR. " �r {�� OWNER -'t'�' L�� ADDRESS ,� ��,�_5 - �� ; NATURE OF WORK EC. SERV. NEW CHANGE 'I'EMP• D C. TYPE - ��' � v-= VOLTS �` � `+ �S FIX' S SW' S RECEPT' S CIRC'S APPLIANCES �� — S I�GNS � `� INSP. ROUGH N SERVICE �' -�"� '�"� FINAL ��/s r EST COST S D `-'" PERMIT FEE /� --" DATE PD://-�-�' REMARKS