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Home My WebLink About0028816-Electric (service change & remodel) � CITY OF OSHKOSH N° 28816 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNE DESIGNER USE/NATURE OF WORK—,�C�.1�GC�"1L(C,� �� — �' �� ` � � 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 ELECTRIC CONTRACTOR � /c� � Electric Serv. New ❑ Change� Temp ❑ Type�Volts � �� Amps L 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 e' FEES: Valuation $ �� '—� Permit Fee Paid $ �� Park Dedication $ ISSUED BY � ' Date �� `� � �� Final/O.P. � �J `/Z— In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � SIGNATId�cE - .�/��1�'�!� (��-'�� AGENT/OWNER DATE ADDRESS TELEPHONE# �;i - �� n � / p � PERMIT NO. � PL. DATE �v /Z-- � ELEC. CONTR. " �' , OWNER � ADDRESS � �� Z NATURE OF WORK Z-�' '�' , ELEC SERV. NEW CHANGE TEMP. D C. T E � - ' �'� VOLTS � � '' ' AMPS . �' C` 'FIX' S SW' S RECEPT' S CIRC' S APPLIANCES � SI�GNS �� ! �� ' � INSP. ROUGHI � �� '�- ✓ SERVICE�/ -i�-` Z FINAL `'� ��' �� EST COST r�C' `-- PERMIT FEE � �"`-`- DATE PD.S�-�� yl REMARKS