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Home My WebLink About0008355-Electric (bedroom remodel) � _ CITY OF OSHKOSH N° 08355 PERMIT APPLICATION AND RECORD : TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� _ M �P � PLAN NO. OWNER /7 0"V`' C�X,Gt,,r� DESIGNER USE/NATURE OF WORK �(L�.UX ,��.L�-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 ELECTRIC CONTRACTOR I �.�r.ce. 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 $ �� Permit Fee Paid $ �� Park Dedication $ ' _ ISSUED B Date � —�� r�a Final/O.P. G) � �//`G' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU E AGENT/OWNER � DATE � ADDRESS TELEPHONE# � '-' l) _ — /��,' PERMIT NO. � �� / . APPL. DATE � � � . /; --,� ELEC. CONTR. C�--��-�3��' � "�� ,�� OWNER � ADDRESS �� — — �%�-��2�'?��'G�= NATURE OF WORK �� /� �t -�- _ ELEC. SERV. NEW CHANGE TEMP. DESC. T PE VOLTS AMPS FIX' S �i`-- � � ,�C' RECEPT'S �� CIRC'S ' APPLIANCES SIGNS INSP. ROUGHIN �/ �3 - /'�`— �o SERVICE FINAL� �r' Ir EST. COST .`� C�"- `--- PERMIT FEE �DATE PD. �2�� REMARKS � � �� .