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Home My WebLink About0025273-Electric (kitchen receptacle) /� CITY OF OSHKOSH N° 25273 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I � � I i�f� �''G't` .�� E'- . PLAN NO. OWNER ��Li. I � f,t.✓' �/' e lr' DESIGNER USE/NATURE OF WORK I�i`� � �� • O �n �� S -e.� • � O,.l-� C � r. 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 ,� t'� /Y"t C � �G�Y,O • Electric Serv. New ❑ Change ❑ Temp ❑ 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 i pv / d� FEES: Valuation $ �— Permit Fee Paid $ `� --� Park Dedication $ ISSUED BY v Date �`�0 `� Final/O.P. �`"f�O — Q/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 1 '� � SIGNATURE ` U !L'�-� ` �� AGENT/OWNER DATE � ADDRESS TELEPHONE# PERMIT NO � J` 2�� • �'PL- -DA E `/ `l�/— ELEC. CONTR. u �' � OWNER � �� ADDRESS � � . � NATURE OF WORK CHANGE TEMP. E EC. SERV. NEW VOLTS p'�S DESC. TYPE CIRC' S FIX' S SW' S RECEPT' S APPLIANCES SIGNS SERVICE FINAL "-�0''`l INSP. ROUGHIN /DATE PD� - -`� EST. COST d /� PERMIT FEE REMARKS l ,; � I � � � I . � I i I i ! I i i (