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HomeMy WebLinkAbout0045712-Electric ~ CoIl CITY OF OSHKOSH N2 45712 PERMIT - APPLICATION AND RECORD :rv.P.E:. _~L~~ -~ .~T~_C? ~~E~^~~B~_C? ~I~~ -~ _~O_N~N~_~- _F~~~D.~~I~~_I~~I~~T~ ADDRESS-----L.! /0 ! ~ OWNER J#-)c ~ ÆI..L? PLAN NO. DESIGNER USE/NATURE OF WORK h£u) ~ f BUILDING CONTRACTOR # Rooms # Stories Height Class of Const. Occupancy Permit Heat Loss BTU'S VOI~¿J Amps2.-ðiJ Receptacles Circuits Size FouJ1dation Sq. Ft. HEATIJ\!G CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System ELECTRIC CONTRACTOR Electric Servo New rár Change 0 Fixtures Switches PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FDr _Disp _WSoft - CBasin _DW _DF - San. Sewer _SP _Ur - Storm Sewer - Eject _SS _Water _WC _Sink Other _LTub ISSUED BY / " .I Permit Fee Paid $ ~ 0 -= , Date 4 7'r Park Dedication $ Final/O.P. FEES: Valuation In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # G If PERMIT NO. 'fS-í (7,.../ . APPL. DATE (,/Z 'Z fq 'í' ELEC. CO~TR. (1.-0 A~ ..;,..,. r OWNER 1- 7 ,ß:£UÁ- ~. ADDRES:j' ' ¡rIb )/~ NATURE OF WORK ~-- ~f)hW~ ~ ELEC. 'SERV.' D~SC. TYEE ¥IX'S SW'S APPLIANCES CHANGE VOLTS W RECEPT'S TEMP. AMPs"l.4 .:.; CIRC'S I Iv SIGNS INSP. ROUGHI EST. COST""Z.-O REMARKS }~