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HomeMy WebLinkAbout0032530- Electric (kitchen) ‘lY CITY OF OSHKOSH N° 32530 PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS A - 4 A• .-� PLAN NO. 1 OWNER V 0 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 a ELECTRIC CONTRACTOR /1ir-P./. .1-t_ e ..44 Electric Serv. New ❑ Change ❑ Temp 0 Type Volts Amps ---- DZt)-----') Fixtures 1-----Switches Receptacles 4----Circuits PLUMBING CONTRACTOR -BT _WH —Disp —WSoft —CBasin -Lay —Sh —DW —DF —San. Sewer _WC _FDr —SP Ur —Storm Sewer _Sink —LTub —Eject —SS —Water Other FEES: Valuatio• $ _ . 0— , Permit Fee Paid $ �s Park Dedication $ ISSUED BY 1 / .- Date /.-- -7 Y,3Final/O.P. l In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. 7 7-5`1 e:-) . APPL. DATE / - /-1 ` y� ELEC. CONTR. / �'a: - OWNER a-77 ' ADDRESS NATURE OF WORK �� ELEC. SERV. NEW CHANGE TEMP. D C. TYPE VOLTS AMPS FIX' S SW' S Q� RECEPT' S lk CIRC' S '� APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL EST. COST 6 C© `%- PERMIT FEE 3c-f------ DATE PD.I 0Z7?3 REMARKS