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HomeMy WebLinkAbout0000863-Electric (a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N! .00863 :r"P_E~ - _~L~~ -~ _~T~_~- ~~E~þ(~~B~_~- ~I~~ -~ _~O_N~N~_~- _F~~~D_~~I~~ - ~~I~~T~ / 5"<1 i~~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK a ¿~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Const. HEATI~!G CONTRACTOR Heat 0 AlC 0 Vent 0 Fuei/System Heat Loss BTU'S New 0 Change Switches Þ<. ELECTRIC CONTRACTOR Fixtures Receptacles Amps- Circuits.;J( ~ / Electric Serv. PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _Lav _WC _FDr _LTub _SP _Ur - Storm Sewer _Sink Other _Eject _SS _Water oc., / Permit Fee Paid $ ;<¿;t ~ .¡' Date?( -41 ~ %6 Park Dedication $ Final/O.P. ír-7-7~ FEES: Vaiuation $ ISSUED BY In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. "G'^'""' ~ 7/ ~ ADDRESS DATE TELEPHONE # PERM" NO. ¿td 76 ~. APPL. DATE S' - -7-;;:;b ELEC. CONTR. Iy ~ , ~. / /f//) , OWNER {? ¿;bzA;2- V~ /.5é-~ ~t/L ADDRESS NATURE OF WORK ELEC. SERVo NEW DESC. TYPE FIX'S SW'S APPLIANCES ç>ç CHANGE VOLTS RECEPT'S TEMP. AMPS CIRC'S~ §IGNS Il"ISP ROUGHIN. SERVICE FINAL8-7'-~ E~~.' COST W'Ið&CC-- PERMIT FE~O~DA'TE P~Þ REMARKS