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Home My WebLink About0031513-Electric 4 � � /� CITY OF OSHKOSH N° 31513 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS O PLAN NO. OWNER e�� /�/� DESIGNER USE/NATURE OF WORK BUILDING CON��RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S 4 l ELECTRIC CONTRACTOR 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 � � �� d � `�'v Permit Fee Paid $ ��S � v Park Dedication $ ISSUED BY ` Date ��f� �v Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � ' � � � 2 AGENT/OWNER DATE ADDRESS � D S �O vv r . �j��2'�'�'r �� : TELEPHONE# � f ) � � PERMIT NO. �/ � `� • APPL. DATE � / � 9'�� ELEC. CONTR. �� 'u OWNER ' ADDRESS ��C/ � � �� ' �� NATURE OF WORK ��' C. SERV. NEW CHANGE ��- �', C. TYPE •' `�` " �' VOLTS ` A AMPS - P'IX' S SW' S � RECEPT' S CIRC' S ` APPLIANCES �rf-•e, �Z;� --�- ' SIGNS � � INSP. ROUGHII�� ; � -� ux�- �-`` SERVICE�- /�� '/-`� i'% FINAL ` --��-�". EST COST PERMIT FEE DATE PD. •�� REMARKS a >. �7G!/_= �q.`��' �� _ 9-� �-s2 -�a;,� �� — � �— ��— �� , . ..�a.,