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Home My WebLink About0029754-Electric (a/c) € � s CITY OF OSHKOSH N°- 29754 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�I�� /' t UI�� PLAN NO. OW N E R l(_L7� S� S1,lL�t/1�A'1--- $ DESIGNER 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 �� G � 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 / /� � 3 FEES: Valuation $ •� Permit Fee Paid $ �v-� Park Dedication $ ISSUED BY Date � —�7�!� Final/O.P. � v� � ��- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �-� - � � �` AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � �� r APPL. ,DATE �,Z � `�� ELEC. CONTR. _ �'-�"'lZ 7 . 'f t�c � ,�� OWNER � � � i�� t-- �ti��t-�2✓ ' ADDRESS / ��.� ' � NATURE _OF WORK � �L[ � .,rL.-t - i � F.T.�'G. SERV. NEW q CHANGE 'I'EMP• � C. TYPE VOLTS AN'IPS FIX' S SW' S RECEPT' S CIRC' S , A.PPLIANCES SIGNS INSP. ROUGH N SERVICE FINAL " 7�iy-' EST. COST D PERMIT FEE - % DATE PD. -/9 92 REMARKS