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HomeMy WebLinkAboutElectric (temp service) CITY OF OSHKOSH N° 19600 � PERMIT - APPLICATION AND RECORD TVPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT " " " " ' _ ' _ " " " " " _ " " " " "/�. . . ' _ " ' _ ' ADDRESS / �/J � D — O"�T ��/^�/�-�— PL4N NO. OWNER ��r<,!-/.-Gt� �i�� ' ' "?/J' DESIGNER � USE/NATURE OF WORK BUILDING CONTRACTOF Size Sq. FL # Rooms # Sroties Height Foundation Class of Const Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ FuelBystem Heat Loss BTU'S • ELECTRIC CONTRACTOR LISOI� I Et�Ytl 6 �SN �- , Elechic Serv. New ❑ Change ❑ 7emp � Type� Volts �� DA^mp/s� �� Fi�ures Switches Receptacles� Circuits J� PLUMBING CONTRACTOR BT _WH Disp —WSoft —CBasin —Lav Sh —DW —DF —Saa Sewer —WC —FDr —SP Ur StormSewer Sink _LTub Eject —SS —Water Other / 0 FEES: Valuation $ �/ Permit Fee Paid $ ` �/ Park Dedication $ ISSUED BV�12. oa�e? �� 5 ` `16 Final/O.P. 5 �d� �F—�� In Ihe perlormance ot ihis work I a9rea to pertorm all work pursuant to mles goveming ihe described consWclion. SIGNATURE ,v�v""' —! • '� a� q o \ P�T/OWNEP OAT \ ADDRESS TELEPXONE M rExMiT No. �1�s44 anPn. �aTE - -� �� lZ' ��ELEC. CONTR. ��--��''"� t{t OWNER L C .��E,YJ/r.[�..] ADDRE55 �.l�Z .� O �` ���G%������S NATURE OF WORK LEC. SERV. NEW CHAN�E TE`�' DESC TYPE - C'- vot TS �' - � � 1�'S " � FIX 5 SW' S RECEPT' S �-�-�- CIRC S �C APPLIANCES y SIGNS c" [ � � INSP ROUGHIN SERVIC'��� � -�-���s�c FINALi -�•��%C EST COST > '�'� PERMIT FEE /�-- DATE nD9-3�-`��' REMARKS