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Home My WebLink About00121524-Electric (family room) � � _ CITY OF OSHKOSH No 12524 . PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC '(� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � � ADDRESS � �-� -� �' // ��7j�L'' �'/ ��Z`' �� PLAN NO. � OWNER ��L� �/�� i'� ��1��Y� � � DESIGNER USE/NATURE OF WORK 'v�� , � C3�N�� 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 . � ELECT�tIC C(�NTRACTOR f � �C 1 � C Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures !� Switches � Receptacles_ '�' Circuits f 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: Valuation $ ermit Fee Paid $ '— —� Park Dedication $ ISSUED BY �,�� — Date �/ � G Final/O.P. � '��'�' In the pertormance of this work I agr o perform all work pursuant to rules governing the described construction. � � �� L, SIGNATURE � '�� AGENT/OWNER DATE ADDRESS TELEPHONE M PERMIT NO. l �S� � APPL. DATE �� —Z—�� ELEC. CONTR. ��2� � �� OWNER �`—� --� 2 v �' , ADDRESS � � �� — �...��Uj uy�,�_�L_�; NATURE OF WORK • v 7 � ELEC. SERV. NEW GE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW' S � RECEPT' S CIRC' ��_ ; APPLIANCES —' SIGNS IIQSP. ROUGHIN `{ `,� - /� Y i'� SERVICE r INAL EST_ COST 7 � G' `—'� PERMIT FEE � S .:-� DATE PD. —/—$y s k.EMARKS ► ,vZ-�F�C:��1� t t�JL��`��'� ✓t/ / 1 � � �' ��{� — �,