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Home My WebLink About0002352-Electric (service change) � CITY OF OSHKOSH No 02352 `' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK C- ��CitV�c � �/ )��'x-°�� BUI�DING 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 CONTRACTnR o ��> ��, : Electric Serv. New ❑ Change (� Temp ❑ Typl��Volts��y�Amps 2� Fixtures Switches Receptacles�— Circuits�— LG�� 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 $ 6��`�- Park Dedication $ ISSUED BY Date/ �-��—�� Final/O.P. �7. —��—��L In the performance of ' work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE# � � � �� ,i /� PERMIT NO. i / , APPL. DATE � �� C' ,�? ELEC. CONTR. �� OWNER O-2 " ADDRESS � �O�� — �p y� --�2�;,"/�/ . NATURE OF WORK — �Jr" 2 — ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE s�—/� C� - � — ��-�' VOLTS .� � AMPS ��' FIX' S SW' S RECEPT' S CIRC' S �' APPLIANCES , SIGNS INSP. ROUGHIN SERVIC �I�' ' � FINAL -�1- EST. COST ---- PERMIT FEE �� --- DATE PDG?�i� , REMARKS I � �