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Home My WebLink About0008435-Electric (service change) /� CITY OF OSHKOSH N° 08435 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC (�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS v��o �IC 141�--�— PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 6->/_�!l/C�L Ph�� 7 �O .�/Ga (. /�. 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 ' � < < ^ Electric Serv. New ❑ Change [�Temp ❑ Typ�a��L�' Volt�l� Amps� �j ��/. 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 ....� ��. FEES: Valuation $ D� Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date �✓"� � 7 � a FinaVO.P. � ��D ��a In the performance of this r I agree to perform all work pursuant to rules governing the described construction. � ��/ SIGNATURE �/ � AGEN /OWNER DATE � ADDRESS TELEPHONE# PERMIT NO. �� ✓ • APPL. DATE •��-�v � �� ELEC CONTR � Lt�- OWNER � �t2'-'�� "� ., ADDRESS � ` �� NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE -- L> g� �-�'�VOLTS 'L° � AMP D� FIX' S S ' S RECEPT' �� CIRC' S� APPLIANCES SIGNS INSP ROUGHIN SERVICE �5 - �0`v� FINAL)I�� EST COST �C�O_/ PERMIT FEE �O�DATE PD�5 �� REMARKS + I � � I � � � ! � i � � � I