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HomeMy WebLinkAboutElectric (temporary) �6� CITY OF OSHKOSH N° 4 �35 �a n PERMIT - APPLICATION AND RECORD , TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT I - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '�` �� �� � �Z 2' ����(, �;/ PLAN NO. OWNER �f'�C-(.l��l�T �>7'Lc'-�- DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class ot Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR � " �'" � Electric Serv. New ❑ Change ❑ Temp� Type"� Volt��� 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 7S�'` ° Permit Fee Paid $ �d' � `� � Park Dedication $ ISSUED BY� z?'� �?-��-'«z���� Date O z �,�7 Final/0.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENUOWNEF 0ATE ADDRESS TELEPHONE k