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Home My WebLink About0011826-Electric (new service) � CITY OF OSHKOSH M° 11826 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � �" ' � �� PLAN NO. OWNER l /`)G�'� �./G'J�2;b� DESIGNER USE/NATURE OF WORK � — �'}--�c-1 !y�—i.-•-�-�-� — � .-� -- � �. �,. - /� e; � —� � � — r�� _ � �> C� BUILDING CONTRACTOR Size — Sq. Ft. # Rooms # Stor� s Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �j Heat ❑ A/C ❑ Vent ❑ Fuel!System Heat Loss BTU'S ELECTRIC CONTRACTOR � 1 L /C C Electric Serv. New� Change ❑ Temp ❑ Type Volts Amps _� Fixtures __ Switches Receptacles Circuits i 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— r � G FEES: Valuation $ �r� ��'� Permit Fee Paid $ ,�-� �J Park Dedication $ ISSUED BY _ Date � �- Final/O.P. In the performance of this work I ee to perform all work pursuant to rules governing the described construction. __f � ,. � ,, �. SIGNATURE '�'�� -�� .� �� j' AGENTiO W N ER DATE ADDRES�! TELEPHONE# PERMIT NO. �/�,� � , APPL. DATE l�— �� ' �� ELEC. CONTR.� ,/�� r. � OWNER %J�G �� l ADDRESS � � , �-�� NATURE OF WORK � - — -�-�----�� .-, - � ELEC. SERV. NEW �- CHANGE TEMP. � DESC. TYPE - - -�v' —��- VOLTS ,,� ° AMPS C� �1 FIX' S SW' S RECEP CIRC' S APPLIANCES 3 -�5{ - }`-u--� /� �� . G� b�c"_.+uc� SIGNS i INSP. ROUGHIN SERVICEC.�/,f-��' FINAL EST. COST / ��i,�� `= PERMIT FEE ��`��- DATE PD �� z�1� REMARKS f � � � l I � I i i � � �