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Home My WebLink About0007684-Electric (boiler) n CITY OF OSHKOSH N° 07684 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�'f PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I ��S / "l� Y Ir f � l,�- PLAN NO. OWNER��C�� vY DESIGNER USE/NATURE OF WORK O �D� 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 Fl FC'TRIC' ('ONTRA('T(�R �G � � �C /� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches�— Receptacles Circuits f 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 $ • 6� Permit Fee Paid $ �'V v Park Dedication $ ISSUED BY Date �~/� �d Final/O.P. �7' �� —�6 In the performance o this work I agree to perform all work pursuant to rules goveming the described constiuction. SIGNATURE �G � I T AGENT/OWNER DATE ` ADDRESS TELEPHONE# �� PERMIT NO. � ��" �� A — PPL. DATE �7'� ��.� ELEC. CONTR. ,�� OWNER --�?.e!�C/� � ADDRESS �� – i��/�-�'�^=2�d` NATURE OF WORK � ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS �(ypg FIX'S SW'S RECEPT'S CIRC'S�C APPLIANCES t SIGNS � INSP. ROUGHIN SERVICE FINAL �� EST; COST �C�� PERMIT FEE ✓ DATE PD i�-S`t REMARKS