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HomeMy WebLinkAbout0006621 E (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 06621 TYPE: BLDG 0 HTG 0 ELEC J)iO' PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- :::~ iiti g~hf:i;;;~ ~ - - ;~ ~O- - - - - - - - - - - 1.111 -td fÎf' /J ) 11 r/,,;Ür DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Canst. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 FueilSystem Heat Loss BTU'S ELE~TRIC CONTRACTOR--.4 /..). Ej ¿øc/íc (; f'rI/ C(""" E~2ctric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- I Fixtures Switg,es 1iØ l!?f Receptacies Circuits :;- 9J;Q , PLUMBING CONTRACTOR _BT -WH -Sh _Disp _OW _WSoft _OF - CBasin - San. Sewer _Lav _WC _FOr _LTub -SP -Ur -Storm Sewer _Water _Sink Other _Eject -SS FEES: Vaiuation $ ISSUED B ~ /f~/ Permit Fee Paid $ Date ,/ .;> -:22 - '7 ? Park Dedication $ Final/O.P. /2 -;;z.:;:z.... -;:g;7 SIGNATURE ules governing the described construction. lJ~c- ¿/Ó / f' 77 ADDRESS TELEPHONE # ú (0 f - PERMIT NO. () ~ ~TE/;Z -/ -?7 ELEC. CONTR. - ß ~;..~ e¿~ 333-& U/~. OWNER ADDRESS NATURE OF WORK NEW CHANGE VOLTS 9 V ~'RECEPTTS TEMP. AMPS CIRC'S ~ ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGHIN EST. COST :50" / REMARKS SERVICE PERMIT FEE t-¡ FINAL -'2z-Z7 DATE PD/..2-u-Z¡