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Home My WebLink About0028724-Electric (receptacles) � CITY OF OSHKOSH N° 28�24 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS � � � � PLAN NO. OWNER � �� -� DESIGNER �t r--- USE/NATURE OF WORK ��_C P 1�`t C�C�'C�S �� 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 I�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps ' 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 t 0 / O L FEES: Valuation $ � � �� Permit Fee Paid $ ` sf Park Dedication $ ISSUED BY Date � '""�C ,c� Final/O.P. � ` �� —f�. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIG ' � �� AGENT/OWN DATE � ADDRESS TELEPHONE� PERMIT NO. ��-� • APP . DATE/ � � ��- E C. CONTR. � Lr. . � �r ' � OWNER P.DDR S �� ` .:�. P. p-2 I NATURE OF WORK ?•"•T.FC SERV NEW CHANGE TEMP. C. TYPE VOLTS AN1PS FIX' S SW' S RECEPT' S CIRC' S APPLIANCES S I�GNS NSP. ROUGH N SERVICE FINAL ��-`►'s, EST. COST L' i:' PERMIT FEE , DAT PD. '- - .� REMARKS � .��' + I I I I I � �