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Home My WebLink About1991-Electric (wire A/C) /`'� CITY OF OSHKOSH N° 22336 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��G � ^/�/� �. ! f S� PLAN NO. OWNER �c-'.� �LJ DESIGNER USE/NATURE OF WORK �� { �`�" Q � °�� 1� � 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 ,�`� �� (SA� ) Fixtures Switches�— Receptacles Circuits �J�] �-- �/ 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 • e O C- FEES: Valuation $ � `nU-� Permit Fee Paid $ �5 Park Dedication $ � / ISSUED BY ?�� Date� — } `�� Final/0.P.�� — S '" / !/ In ihe pertormance of ihis work I agree to pertorm all work pursuant to rules governing ihe described construction. SIGNAT Gf l�`-:�"`^^"_"_'----� � � AGENLOWNER ATE ADDRESS TELEPHONE# PERMIT NO. Z z✓/ � , APPL. DATE — / � _ �� ELEC. CONTR. c�� . �� OWNER ADDRESS � �O — //�e!�'�� _ NATURE OF WORK _�/' ELEC. SERV. NEW CFiANGE TEMP. �� DESC. TYPE VOLTS AMPS FIX' S SW' S RECEPT' S CIRC' S � APPLIANCES SIGNS INSP. ROUGHIN SERVIC� = FINAL 2- 5 `I/ EST. COST �eS+oe � PERMIT FEE �'`� "-�DATE PD.Z �S•9/ REMARKS