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Home My WebLink About0004172-Electric (service change) � /� CITY OF OSHKOSH N°_ 04172 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� i�%��"`-�'�'l"`' PLAN N0. OWNER 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� Electric Serv. New 0 Change ❑�mp ❑ 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 $ a Permit Fee Paid $ ��/ "� Park Dedication $ ISSUED BY Date �Q � �l `�� Final/O.P. S� �� 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� AGENT/OW ER DATE � ADDRESS TELEPHONE# y� _� �y PERMI�' NO. � , l ` �� APPL. �DATE � 'Z D ��/ � ELEC. CONTR. � ��, OWNER �rr � ADDRESS � �` � — � NATURE OF WORK � ELEC. SERV. NEW CEiAN . DESC. TYPE ' —1�,.` VOLTS ��- - �{ G1 AMPS.ZCiC/ FIX' S RECEP S CIRC' S�' APPLIANCES SIGNS INSP. ROUGHIN SERVICE -5-��b _ FINAL''f�/-7�,� EXTo COST � '(� �--� PERMIT FEE S -- DATE PD - J�7 REMARKS c �; � I I � � i