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Home My WebLink About0012314-Electric (service change) CITY OF OSHKOSH No 12314 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (�� (�� /� �"'�� PLAN NO. OWNER—�,V / �('J L ��'.,.�1�dZ DESIGNER USE/NATURE OF WORK 1�✓��I �' C'�•��-Z� � �U �� ,� "lUU �J' �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heu. ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR � �� '�G' % / � � - Electric Serv. New ❑ Change�' Temp ❑ Type�- Volts�d Amps�//)C3 Fixtures — Switches Receptacles Circuits _ r 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� Park Dedication $ FEES: Valuation $ Permit Fee Paid $ ISSUED BY Date dZ-- � ��9 Final/O.P. � -- � -- �� In the performance of this wo I gree to perform all work pursuant to rules governing the described construction. ,f' � __--�— SIGNATURE ) ��- ''�� AGENT WNER DAT� i ADDRESS TELEPHONE k r PERMIT NO. � . APPL. DATE —3/ —"� > ELEC. CONTR. t'� �� ' OWNER � ��r�2 ADDRESS �� '�7` - , ,��' ��%z�z�'� NATURE OF WORR ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE 2' C/ � ._� VOLTS �� o AMPS �U FIX' S SW'S RECEPT' S CIRC' APPLIANCES V SIGNS INSP. ROUGHIN SERVI FINAL - - `� EST. COST �J�� PERMIT FEE � ' DATE PD - -r3' REMARKS N