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Home My WebLink About0039056-Electric (replace service) / � cc3-�.:� /� CITY OF OSHKOSH N°_ 39056 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HT6 ❑ ELEC �j`� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - �-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADdRESS �� I��Z.-- ��.%'�.h.C..�� PLAN NO. OWFVER �J�" �'4�l',�t,2�.,w' DESIGNEFt 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/i�Cl�dG-i.-�° ��.�t..Gl �c r,��,�.�c.,� �"i3 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: Valuation $ 47r!�.� c1 Permit Fee Paid $ � -� �' � Park Dedication $ ISSUED BY � �`L' ��ti�-r-' Date � � ` , , Final/O.P. In the performance of t s wo;k I a ee to rfor all w rk pursuant to rules governing the described construction. � � SIGNATURE — 2 ,—�/�f AGENTiOWNER DATE ADDRESS TELEPHONE# � �� p 5�5� . P,PPL DATE 5� Z� �� y I PERMIT NO � ELEC CONTR �C�l�'�� OWNER .��''�`� ADDRESS �� ''" ��`��'� N:ATURE OF WORK � EC. SERV. NEW CHANGE TEMP• DESC. TYPE VOLTS p'�S FIX' S SW' S RECEPT' S CIRC' S APPLIANCES S I'GNS F INAL INSP. ROUGHIN SERVICE EST COST `�'O v o PERMIT FEE /i� -�° DATE PD. y , REMARKS