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Home My WebLink About0038619-Electric (repair garage wiring) �Iz N°_ 38619 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � � � � PLAN NO. OWNER ��- �� DESIGNER USE/NATURE OF WORK ' BUILDING CON7RACTOR 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 �� %t-°�-�� i�� .�tia�.0 �GLc� 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: Valuati $��0 0• �� Permit Fee Paid $ ��✓•�� Park Dedication $ ISSUED BY Date �/2 S/� � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _ - �SIGNATURE --� �t� � .7 �� ADDRESS �� "v �J "° c-� ' WNE • `��%�/��,��Ql�- /° /- �� 6� � � TELEPHONE# .