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Home My WebLink About0000444-Electric (add receptacle & circuits) � P _ CITY OF OSHKOSH No _ 00444 ERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT .: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ADDRESS / � � PLAN NO. 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 ❑ C nge ❑ Temp ❑ Type Volts Amps Fxtures Switches Receptacles� Circuits�— � PLUMBING CONTRACTOR —BT _WH _Disp —WSoft _CBasin —Lav _Sh _DW _DF —San. Sewer —WC _FDr _SP —Ur —Storm Sewer —Sink _�Tub —Eject —SS —Water Other FEES: Valuation $ Dv'—� permit Fee Paid $ ��✓� Park Dedication $ ISSUED BY Date —! O _�� Final/O.P. ! `/ � �� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER DATE ADDRESS � TELEPHONE# PERMIT NO �� : �.�t-`7` -, APPL. D E � � �� fn ELEC. CONTR. �` � �� OWNER � �`�� oy�� ADDRESS � �- � y �°J ��`� � NATURE OF WORK , � ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S RECEPT' S CIRC'S � APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL �/U�-S� EST COST .�DO �•-�'�� DF'RM7T FF.F a- DATE PD. aU 1L�6 REMARKS � � � l � i i f � i i