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HomeMy WebLinkAbout1991-Electric (new building) /� CITY OF OSHKOSH N° 26608 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS 2 7a � ` '�"�°"' � ��- PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK ` �'J`-' 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 Electric Serv. New �Change ❑ Temp ❑ Type Volts Amps�L 3 , Fixtures � Switches � Receptacles r/ 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 �,9 0 FEES: Valuation $ 0 v a Permit Fee Paid $ /� � �^ Park Dedication $ ISSUED BY Date!/�` "-/ ` �✓ Final/O.P. ! d '-�—�� In the performance of this work I agree perform all ork pursuant to rules governing the described construction. SIGNATURE � ''�'/ �� �- 9 A T/ WNER � DATE � ADDRESS TELEPHONE# � � PERMIT NO . �� �� � . APPL. DATE � ' ELEC. CONTR. �L ` � � - OWNER _�!?'C '"v'"✓� � (.(./�Q� ADDRESS � 7 5 � !��'��"� � NATURE OF WORK ELEC SERV NEW CHANGE TEMP. pESC. �'YPE �f- w - ���- ��. VOLTS /t%-�� Ai�S .�D<a FIX' S � SW' S RECEPT S l/ CIRC' S G� APPLIANCES � � SIGNS - � �� INSP. ROUGHIN � - 'I I:'- SERVICE - FIN ' EST. COST ��'�' PERMIT FEE /SO � DATE PD �2 � = REMARKS