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Home My WebLink About0038965-Electric (service change) .t0� � N° 38965 � CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC I4� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - - - ��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � / � !� PLAN NO. O W N E R /��i2 (_;/��..G��LC.1��'D1�� DESIGNER USE/NATURE OF WORK 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 y Electric Serv. New ❑ Cha ge�Temp ❑ Type� Volts � � Amps 2O� 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 $___1 � �� o � Permit Fee Paid $ � • � � Park Dedication $ ISSUED BY � Date g Final/O.P. In the performance of this work I agree to perform all w k pursuant to rules governing the described construction. SIGNATURE �� NT/OWNER DATE � ADDRESS TELEPHONE# s g �� ' �� PERMIT NO. � d / � •S . APPL. DATE ��Z� 4 Y ELEC. CONTR. � ; OWNER J4}�-t �./� ADDRESS �� G'�$'�- NATURE OF WORK ., .,.�� ELEC. SERV. NEW TEMP. DESC. TYPE VOLTS �-�t AMPS - -��` F�X' S SW'S RECEPT' S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE � Z � �t FINAL EST. COST ` �o PERMIT FEE '�e � DATE PD.'' REMARKS `�- /��i�