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HomeMy WebLinkAbout1993-Electric (replace riser) � �� � � CITY OF OSHKOSH N°- 34812 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG SIGN ZONING FLOOD PLAIN ❑ ❑ HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS v�� � PLAN NO. r OWNER 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 Electric Serv. New ❑ Change ❑ Temp ❑ Type�� Voltsl� �mps �� ,� � 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 �— Permit Fee Paid $ �� Park Dedication $ ISSUED BY � Date �! � �� Final/O.P. 1��� `—<� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNAT R �''1�� �g`� AGENT/OWNER DATE ADDRESS TELEPHONE#