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0008798-Electric (service change & remodel)
; /� CITY OF OSHKOSH N° 08798 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �' PLBG ❑ SIGN ` ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - �It� W - - - - - - - - - - ADDRESS /"lS�(Ili'l.. PLAN NO. OWNER ��-�I.-, DESIGNER USE/NATURE OF WORK c..���/ C.� � 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- ��S c �( x � -j� Electric Serv. New ❑ Change ,�Temp � Type �� Volts�� Amps /�� Fixtures� Switches�r 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: Valuatio $ � • � Permit Fee Paid $ .5 d. �7 Park Dedication $ ISSUED BY Date [7 % — �� Final/O.P. ��0� �`�� / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE I� _ . ��� /� �{\`� AGENT/OWNER d • � ^/"� DATE ADDRESS TELEPHONE# � PERMIT NO.�� 7J� APPL. DATE .� `sZ��� ELEC. CONTR. � � - � OWNER p� �, � � /� � � ADDRESS �/O ' L�/ � ,/�/,Q�Gy�y� � NATURE OF WORK � ELEC. SERV. NEW CHANGE TEMP. � DESC. TYPE � - -�/ VOLTS �� 5� � AMPS G FIX'S SW' S RECEPT S � CIRC'S� APPLIANCES SIGNS INSP. ROUGHIN - Q`�$� SERVICE ' =� � rINAL/-,Zd ' EST` COST , S O`? PERMIT FEE �_DA?E PD f Is$ REMARKS �