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Home My WebLink About0031953-Electric (service change) I € CITY OF OSHKOSH N°_ 31953 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS �� PLAN NO. OWNER ' DESIGNER i��/ > USE/NATURE OF WORK � c-c-t� i�_ � i . � � ' 3 - � 0 ,�= 3 - � a � ' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR ��/! ��` � �/ / y /o-r) Electric Serv. New ❑ Change �femp ❑ Typ%¢�i� Volt � � Amps . n 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 0 FEES: Valuation $ ��ermit Fee Paid $ �`S� Park Dedication $ ISSUED BY Date�� `� Final/O.P.�O /2� �� '° In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � �a SIGNATURE ��"`�� /1 /� �� G T/OWNER � DATE / ADDRESS TELEPHONE# / �/ ` //f Z-� PERMIT NO. � ( ` � , APPL. DATE ` v F ELEC. CONTR. ��3� �� OWNER �'"` - ��/ � �-- ;�l-�� ADDRESS N ATURE OF WORK �' E . SERV. NEW �� ' 1'�F�C TYPE - - 4/VOLTS �- �- ti� d AMPSID l/ FIX� S SW'S RECEPT'rS � G:�RC'S a' L AN S SIGN � - ,t � � INSP. ROUGH N SERVICE � �rG - z� y 2- FINAL � E T. COST � P RMIT F E ��DAT PD o�'� �� REMARKS , ` �'-T � - ��.;�r�I��E" ., i i f � � i � � �