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HomeMy WebLinkAbout1991-Electric (remodel) (t) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 22495 ~~P_E: - _~L~~ -~ _~T~_C?- ~~E~X~~B~_C?- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~- ~~I~~T~ ~r:O OJ. #i þ¿ LM!3D~: ADDRESS PLAN NO. OWNER DESIGNER {Î (þy.()~ , USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. HEATING CONTRACTOR HeatD NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR $tE; Electric Servo New D Change D Temp D Type - Volts - Amps- Fixtures oX Switches >-- Receptacles Y CircuitsY PLUMBING CONTRACTOR _BT _WH _Sh _Disp _WSoft - CBasin _DW _DF - San. Sewer -SP _Ur -Storm Sewer _Eject _SS _Water _Lav "_WC _FDr _LTub . _Sink , Other FEES: Valuation $ ISSUED BY J Permit Fee Paid $ ,<:ò. ðì..J ./ Date iJ-l- Y I Park Dedication $ Final/O.p.!:J. .... / 9 ~ ?¿;; '" ". eo"] 0' ", ~. , ,,- '" ",>om ., ~. ,.~- '" ru'~ ,-,"' .0 ,,~"" ~-"'oo SIGNATURE ~"¡ I~ç,,¿~. ? -J -II AGENT/OWNER DATE ' ADDRESS TELEPHONE # PERMIT NO. ;?-..;J- '-/ Ý-.3- ELEC. CONTR. OWNER ADDRESS NATURE OF WORK SW'S .Ÿ'-- CHANGE VOLTS RECEPT'S ~ TEMP. AMPS CIRC'S Þ<:... ELEC. SERVo DESC. TYPE FIX'S ex APPLIANCES NEW SIGNS, INSP. ROUGHIN EST. COST / J ð6 ~ REMARKS SERVICE FINAL/.2-/9-W . PERMIT FEE 5d~ DATE PD.]~/-'71 /