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0032858-Electric (service change)
� �� £ CITY OF OSHKOSH N°- 32858 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC Q� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - 1-�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I � � 1" ►���� � PLAN NO. OWNER �JVh� C C�'r–`��,°_C� DESIGNER USE/NATURE OF WORK " �L�� Lr–t � -3 a 3 �- /� c� -- 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 ELEC'TRI(' C'nNTRAC'TOR �r� � 1P l�I C� '� Electric Serv. New ❑ Change � Temp ❑ Type Volts Amps Fixtures Switches Receptacles�— Circuits�— . } f 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 .3�� `� � Final/O.P. �� � ��� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � � AGENT/OWNE DATE Q .+ t ADDRESS 1 �� �� � ��� Z� i ����� TELEPHONE;M � �. _� / � _,�.., , ,, PERMIT NO. �� . AP . DATE �� ^�` / ELEC. CONTR. 'fi � OWNER L 2`'`e'' AD��ESS ` ��,Z � � ` _��:�L'��i�'ti�'G� NA��TJRE OF WORK FT.EC SERV. NEW CHANGE TEMP- DESC. TYPE VOLTS y � AMPS � FIX' S SW' S RECEPT' S CIRC'S - APPLIANCES � SIGNS � � INSP. ROUGHIN S ERVI CE� E.�.. F INAL . . EST COST -D `— PERMIT FEE ��'`�-`- DATE PD.7���y� REMARKS "(/ �