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HomeMy WebLinkAbout0014373-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 14373 ~~P_E~ - _B_L~~ ~ _~T~_C?- ~~E~_~- ~L_B~_C? - ~I~~ -~ _~O_N~N~_~- :~~~D_~~I~~ - ~~I~~T~ S-;~7J' ¡~ ÞA/ 1/ "'N NO ADDRESS OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. HEATING CONTRACTOR ,Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures K Switches K Receptacies þ< Circuits LOf,~ .i-~ '7 a./ ~ ELECTRIC CONTRACTOR Ð- PLUMBING CONTRACTOR _DF - CBasin - San. Sewer _Lav _WH _Sh _Disp _DW _WSoft _BT _WC _FDr _SP _Ur - Storm Sewer _Sink _LTub _Eject _SS _Water Other ~ /¿J~V' :~,:~~~o~~ ,~" "., ""~. /'- / -" -7'7 Park Dedication $ Final/OP. ?-/.7--fJ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ø ¿ AGEN NER 7~¿~~ / DA1É ADDRESS TELEPHONE # PERMIT NO. /4 J 7 '3 ,APPL. DATE tf -,25-[6?- ELEC. CONTR. u/~ ¿;¿:,£ . . OWNER' . ~ J:! ¿/'-fA/~ ADDRESS ~ JI-;?-ck -r#~Y NATURE OF WORK NEW ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGH N , EST. COST ~C!~ REMARKS SW'S CHANGE VOLTS RECEPT'S LX:. TEMP; AMPS CIRC'S¿;:),/ '-- SERVICE FINAL1-U-Y PERMIT FEE /or¿.:---- DATE PD- r1 ..-----