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0013224-Electric (sub panel & 1 receptacle)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 13224 TYPE: BLDG D HTG D ELEC ~PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS J S-.O OWNER PC( V' f( So c /(~ 0", /\/ Pr/'.-. / 5; 1- PLAN NO. DESIGNER USE/NATURE OF WORK 54 L ¡()éL'7-" / , , + 1- /( CiJÎ. , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR/'1 Y ¡:: /-ec. fY't'c. L ðv tJ f Electric Serv. New D Change D Temp D Type- Volts- Amps- L-- t.---- Switches Receptacles Circuits c¡p, Fixtures PLUMBING CONTRACTOR _FDr _DW _SP _WSoft _DF - CBasin - San. Sewer _BT _WH _Sh _Disp _Lav _WC _Ur - Storm Sewer _Sink Other _LTub _Eject _SS _Water 3 5' ~. Park Dedication $ Date ,)-'7-;)1' Final/O.P. '5-7-7'7 ISSUED B In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Øa'~-1A/1l-/~:O~N~/¡;ViÑER ADDRESS s- 9- [{ 'i DATE :;¡, l.J-{) 7t!Î TELEPHONE # ELEC. CONTR. OWNER "" ADDRESS NATVRE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGHIN EST. COST REMARKS NEW ~ tP~<=I-- ~ ~ 15tJ~~~' ~~/ ¡j] ~?f- ~ /" CHlJIGE TEMP . VOLTS AMPS RECEPT' S (7'------.. CIRC' sÆ2. SW'S SERVICE PERMIT FEE