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Home My WebLink About0029082-Electric (service change) /� CITY OF OSHKOSH N°_ 29082 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS- �l � � ///..�.ti1-�- � � � PLAN NO. OWNER - �� . � DESIGNER USE/NATURE OF WORK � �~� � � �-�- �� '� BUILDING CONT'RACTOR 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� � Volt�� Amps�—�Z> . Fixtures Switches 0°� 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 BY Date�' ��y� Final/O.P. [� � -�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � g /O N R ATE ADDRESS TELEPHONE# . 1%\ �` J � �// � c PERMIT NO. . APPL. DATE � � � — � ELEC. CONTR. �t,-� 1 �* �� OWNER -C�� a''� - �._ ' �E-"��"�� '7i'/ � A�DRESS NATURE OF WORK - �� c�y �� EC. SERV. NEW CHANGE TEMP. DESC. TYPE - ' �' � �' VOLTS ��' �r0 ANiPS ." �'`' FIX' S � SW' S RECEPT S �, CIRC' S APPLIANCES - S I�GNS INSP. ROUGH N -- / - � SERVI CE F INAL .� -�l' y EST. COST /c' � �` `" PERMIT FE �'�--�3ATE PD. - - �- REMARKS � , � ,�, C