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Home My WebLink About0006217-Electric (repairs) � CITY OF OSHKOSH No 06217 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �b l lO /!`"�.�:��L��'V PLAN NO. t OWNER � DESIGNER USE/NATURE OF WORK –s--� � 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 � �� `� �j'� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches—�� Receptacles� Circuits �� /��/'\J" ' 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 � 7 Final/O.P.��"'`��l —� � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� GENT/OWNER ATE �. ADDRESS TELEPHONE# PERMIT NO. � �' �( APPL. DATE C a-�� ,�� ELEC. CONTR. - '��C� � OWNER �.�ZiYu� �2��/�� ADDRESS �� -�j.-�-��i'��'��- � � NATURE OF WORK i' 6 / ��-t., ,C.� , ELEC. SERV. NEW CHANGE TENIP. DESC. TYPE VOLTS AMPS FIX' S SW' S RECEPT' S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN „ SERVICE � FINAL - ��7 EST. COST 5��_=� PERMIT FEE �:-�DATE PD T1�1 REMARKS