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HomeMy WebLinkAbout0025861-Electric TYPE: BLDG 0 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD HTG 0 ELEC ¿O SIGN 0 ZONING - FLOOD PLAIN- N2 25861 ~ HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ""= ~ ä OWNER £ DESIGNER ~ ' AI ?,,;=/S PLAN NO. USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 4 ~ Electric Servo New 0 Change 0 Temp 0 Type - Volts- < Fixtures Switches Receptacles ~Circuits Amps- ~ PLUMBING CONTRACTOR _BT _WH _Sh _Disp _WSoft - CBasin _DW _DF - San. Sewer _SP _Ur - Storm Sewer - Eject -SS _Water _Lav _WC _FDr _Sink Other _LTub FEES: Valuatio ð~ Permit Fee Paid $ /ð 0 Date /21 -/1 -'7/ Park Dedication $ Final/O.P. /ð -lg-'i'Y ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ,4-1" ~~~ER /ß~t(9/ ADDRESS TELEPHONE # ó- ;:;2/~ ~ ELEC. CONTR. OWNER ADDRESS N;;\TURE OF WORK --' SW'S CHANGE TEMP . VOLTS AMPS RECEPT' S..4. ~ CIRC' S ELEC. SERVo Ì)"ESC. TYPE FIX'S APPLIANCES NEW SIGNS INSP. ROUGHIN EST. COST 7~~'~ REMARKS SERVICE FINAL(/l-Iff-'I¡ PERMIT FEE /OC!..::- DATE PDlð-Ig>-'tj