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Home My WebLink About0002686-Electric (new service) /� CITY OF OSHKOSH �0 02686 `' PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC�] PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� L«�' PLAN NO. OWNER � � ' DESIGNER USE/NATURE OF WORK i�c;l—'�✓ �� - ° 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 Electric Serv. New �" Change ❑ Temp ❑ Type Volts Amps ��''"� ' �.-� Fixtures Switches� Receptacles X Circuits� c 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 BY Date �� '� �/ Final/O.P. In the performance of this work I a ee to perform all work pursuant to rules governing the described construction. StGNATURE �� / �� ` / AGENT/OWNER DATE ADDRESS TELEPHONE# � / (`- PERMIT NO. �� '` ��`" . APPL. DATE (� f� � � ELEC. CONTR. � �� OWNER 1-�� -� �� ' � ADDRESS , �L�� / � � -�� NATURE OF WORK ,�_� .��--�-�� E EC. SERV. NEW CHANGE TEMP. � C. TYPE � �' '-��- — VOLTS �� 3 � o AMPS FIX' S � ,>�� C RECEPT � CIRC'S �` APPLIANCES � SIGNS INSP. ROUGHIN SERVICE��_ ' � � � 'it 'FINAL EST. COST / � �� PERMIT FEE,3"�, DATE PDJ 17 a7 REMARKS