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0005140-Electric
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 05140 TYPE: BLDG 0 HTG 0 ELECþ(PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - -- OWNER ~~r~ PLAN NO. ADDRESS DESIGNER 7~/~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ( c ~ ELECJRIC CONTRACTOR Electric Servo NewKChange 0 Temp Fixtures L - Switches PLUMBING CONTRACTOR _Lav _WH _Sh _Dlsp _DW _WSoft _DF - CBasin _BT _WC _FDr _LTub _SP -Ur - San. Sewer -Storm Sewer- _Sink Other _Eject _SS _Water ~ ~ FJ€-- Permit Fee Paid $ I éJð ~ I Date F' - 2- r; -í?7 Park Dedicatior;J- - Final/O.P. èf . .;J- 7 :¿r 7 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE elL ~~R DATE ADDRESS TELEPHON.. ELEC. CONTR. OWNER NEW TEMP. AMPS /00 CIRC'S w SIGNS INSP. ROUGHU EST. COST REMARKS 7 ð O'? ~/ / / / /