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HomeMy WebLinkAbout0003717-Electric ~ ~_._------_.-- ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 03717 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - < - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I %30 /J¡ DKO¡1ß1 /p.. , OD ¿:)/ Jh()/J (/ PLAN NO. OWNER DESIGNER I C ;&17})(J&{ J USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft # Rooms # Stories Height Occupancy Permit Class of Const HEÞ¡,TING CONTRACTOR ,. Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ 170£Il ¡i5?Ijø.ú i C¡;'" ú Electric Servo New 0 Change~ Temp 0 Type -. Volts - Amps - 9éQ Fixtures ..,( Switches )( Receptacles Y- Circuits V -- ( I PLUMBING CONTRACTOR _BT _WH _Sh _Disp _OW _WSoft _OF - CBasin _Lav _WC ~FDr -SP -Ur - San. Sewer _Storm Sewer _Sink Other _LTub _Eject -SS _Water FEES: Valuation $ ø {!} ¿;) ~mit Fee Paid $ .3 S; ~ Park Dedication $ ISSUED BY~;P:;¡"/;~:/--¿ Date ;--/.2 -?J':> Final/O.P. ¿,.' 28-88 SIGNATURE DATE ADDRESS TELEPHONE # " ADDRESS NATURE OF WORK ~....7 (7 APPL. DU~/Y -15;7 y/( ~ ;: tJD-rD] ~ /'71CJ--f/~~ 4 ? PERMIT NO. {) ELEC. :CONTR. OWNER ELEC. SERVo NEW DESC. TYPE FIX'S r><-. APPLIANCES CHANGE VOLTS 2-V >'- RECEPT'S ,x... 'l'¡';MP. AMPS CIRC'S k , SIGNS INSP. ROUGHIN EXT. COST REMARKS ------- SERVICE - FINAL - <f)if" PERMIT FEE ?~ATE PD.J= /}.-'lf7 .-- - -