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HomeMy WebLinkAbout0027136-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 27136 TYPE: BLDG 0 HTG 0 ELEC ~G 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- :,::;.i;:;.~~~~.......~:~~............ DESIGNER USE/NATURE OF WORK J a/~ cJ2-dd. BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System ELECTRIC CONTRACTOR ~ Heat Loss BTU'S ¿~- Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures L..--- Switches /----. Receptacles ---. Circuits L-- ~ PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _BT _WC _FDr - LTub _SP _Ur _Storm Sewer _Water _Sink Other _Eject _SS 'A) .."" . J./J~V- {/ tP ð ~ Permit Fee Paid $ / , V Park Dedication $ Date .)..-0/ ~ Ý '2...-Final/O.P. . - ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. "G"'""' ~ AGENT/OWNER ADDRESS / /~-7Z- - / DATE TELEPHONE # ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ,ELEC. SERVo NEW 'D'ESC. T~E FIX'S X ,SW'S 'APPLIAN S - ,~ CHANGE VOLTS RECEPT'S L>z. TE~. AMPS CIRC'S ~ --- SI'GNS INSP. ROUGHIN - - l' 'SERVICE FINAL EST. COST PERMIT FEE DATE PD .~- ~KS I ¿7~IJ~ )"¿J:;:;--- ~ ---"----,-,----,~