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Home My WebLink About0010958-Electric (exit lights) � _ CITY OF OSHKOSH RD N� 10958 PERMIT APPLICATION AND RECO TYPE: BLDG ❑ HTG ❑ ELEC LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� /v `'� �s � �� r�- PLAN NO. OWNER � ✓`'/ ( DESIGNER USE/NATURE OF WORK �� `�� //� K� 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 ( � � �r `P�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 • FEES: Valuation $ � `� Permit Fee Paid $��, � `� Park Dedicati n $ ISSUED BY Date f� - �� ` S� Final/O.P. � �—D � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. : SIGNATURE /� /�/ � AGENT/OWNER DATE � ADDRESS TELEPHONE# , '� PERMIT NO. � ` �� . APPL. DATE � � � � '� iLEC. CONTR. � � L� ' �WNER (._ ci��=-�!/1� 3 ADDRESS �_� dL�` ��-�� , NATURE OF WORK � ELEC. SERV. NEW CHANGE TEI�. DESC. TYPE VOLTS AMPS FIX' S SW'S RECEPT' S CIRC' APPLIANCES �- SIGNS INSP. ROUGH N SERVICE FINALi - � " EST. COST m O `i PERMIT FEE _35� DATE PD l��ti� REMARKS