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HomeMy WebLinkAbout0002675-Electric ct) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 _O2675 TYPE: BLDG 0 HTG 0 ELEC~ PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - -""""""""""""""""""""""""""."""'" USE/NATURE OF WORK ~~. ~.? ;;7&:J çx;;;~ PLAN NO. ADDRESS ~~ OWNER c:7 DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ Electric Servo ¿ crcJ New 0 Change 0 Temp 0 Type- Volts- Amps- --( Switches..x. Receptacles /'- Circuits y ~ ' Fixtures PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _Lav _WC _FDr _SP -Ur - Storm Sewer _Sink Other _LTub _Eject _SS _Water FEES: Vaiuation ~SZ>O ISSUEDBY~ .~ Permit Fee Paid $ Date / 7~' Î /5 / -,22 - ¿J7 , . Park Dedication $ Final/O.P. tç./3- SÎ In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. "G,^W", ~~ AGENT/OWNER /~/7 ADDRESS TELEPHONE # _MIT NO. /1) /6 75 . ~PL.~ ~ 1.7. f£ 'LEC. CONT'. (" ~~ OWNER i)' ~~ ADDRESS ;;¿ 9;;-17 - ~vÁ ¡;[) NATURE OF WORK (/1~ M--~ . TEMP. AMPS (/0 CIRC'S SIGNS INSP. ROUGHIN ) EST. COST 5 REMARKS 1- '- 7, FINAL) -Il-Ø DATE PD -,72, --- / /