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0021581- Electric 1990
CITY OF OSHKOSH N° 21581 PERMIT - APPLICATION AND RECORD TYPE: BLDG D HTG ❑ ELEC 1LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS q1:3 N Lo / PLAN NO. OWNER 0J UCI y B S7- Wal a DESIGNER 7 USE/NATURE OF WORK C� ha h� e S tpnU(C-` V60 - ✓//oc� 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 /46 `e- )J Yl `e �) Electric Sem New ❑ Change ❑ Temp ❑ Type�� s �y`` Volt ' Amps /e�/ dk9' Fixtures Switches ' Receptacles ' Circuits L 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: Valuation $ ©�`� Permit Fee Paid $_ 2 �� Park Dedication $ ISSUED BY Date /7-16 "�l/ Final/O.P. / ]" 740 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR' ..41.' / / /L^/d AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. / 7/ - . PL. DATE /e7 ---.?l-yam ELEC. CONTR. VOL-e SLG - d='4--4 & I z Wiz. " .C.) ( C7 , OWNERj � ADDRESS ` /5 - / /Z -z_ i NATURE OF WORK ELEC. SERV. NEW CHANGETEMP. DESC. TYPE 5 - G d 3 '&- VOLTS I ��L AMPS l ac29 FIX' S SW' S RECEPT' S , '( CIRC' S A APPLIANCES ,(, j SIGNS C, �L` 4' INSP. ROUGHIN SEf:VIC�C/(`/G'-)/-yd FINAL/p'3!-ve EST. COST O o PERMIT FEE ,72,o DATE PDJ//6-90 REMARKS