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HomeMy WebLinkAbout1994-Electric (annual permit) (� s3 N� �-tU �o- U �, CITY OF OSHKOSH � PERMIT - APPLICATION AN � RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT r�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � /I� ADDRESS =-� 3 � � -�-/� ^1 I G2� �i� �- PLAN NO. ,� r J OWNER _'!t� ,�i� <_ � -� LE-, ` ✓ DESIGNER � USE/NATURE OF WORK �' ��'�"' �Cl�C�-��-Ct2�-�-�- �.Gs�'✓/'cc,T` � ��-ac.�,c- 3� l4�`( f —� �u�z � 7c y /6�i ,}i % � i 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 �'�-���i �����- %-� ' Electric Serv. New ❑ Change ❑ Temp ❑ � Type Volts Amps 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 $ �C C'`' � park Dedication $ ISSUED BY ��'✓�`���-°�`"— Date � Final/0.P. In the performance of this work I agree to perform all work pursuant to rules governing the described consiruction. SIGNATURE AGENT/OWNER DATE ADDRESS .E�eaHorve�