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Home My WebLink About0007684-ELEC. (hook up boiler) � CITY OF OSHKOSH N°_ 07684 `► PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC,Vc'f PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - -��- - - - - - - - - - - - - - - - - - - - - " ADDRESS � �� t ��-� � �� ` PLAN NO. � "� OWNER�� `L'L Z'Y DESIGNER USE/NATURE OF WORK � - �a�� BUILDING CONTRACTOR Size Sq. Ft.— # Rooms # Stories Height Foundation _ Class of Const. Occupancy Permit HEATING CONTRACTOR — Heat ❑ A,�C ❑ Vent ❑ FueUSystem_ Heat Loss _ BTU'S <—. ELECTRIC CONTRACTOR � �-L �'� �C �= Electric Serv. New ❑ Change ❑ Temp ❑ Type--_ Volts _ Amps Fixtures— — Switches� Receptacles Circuits � PLUMBING CONTRACTOR _gT 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 $ � Date / '�/ � � � �inal!O.P. --3__! � �� ISSUED BY � In the performance o this work I agree to perform all work pursuant to rules governing the described construction. � ��`� -. _ (� _ SIGNATURE— � ��1� �� ' �� AGENT�OWNER DATE ADDRESS— - TELEPHONE# PERMIT NO. `' �� APPL. DATE �- �� ELEC. CONTR. , 'T G-7 r.� ��9 OWNER �-�-e�C- �;>2C%�' � ADDRESS / .�� `> - i��/--��"^�� NATURE OF WORK ` I ; ELEC. SERV. NEW CHANGE TEMP. � DESC. TYPE VOLTS AMPS FIX'S SW'S ;�,� RECEPT'S CIRC'SDC APPLIANCES ? SIGNS INSP. ROUGHIN SERVICE FINAL' "�� EST. COST ,} O�� PERMIT FEE DA?E PD. i�-S'� REMARKS ^ � � 1 R ( � � ( I I I