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HomeMy WebLinkAbout0014921-Electric (riser) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 14921 TYPE: BLDG D HTG D ELEC" PLBG D SIGN D ZONING - FLOOD PLAIN - HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS %'1 ¡.J. OWNER 9--' vJ~t¡t DESIGNER USE/NATURE OF WORK WrLAeF ;4IÄ ~ PLAN NO. rz, ~<. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR --;. 12,,( ¿ L? ~(¿ , L,c. Electric Servo New D Change D Temp D TypeYU-/" Volt~Ø' Amps...LL.d Fixtures Switches Receptacles Circuits ~ PLUMBING CONTRACTOR _Sink _FOr _LTub _Disp _WSoft - CBasin _OW _OF - San. Sewer _SP _Ur - Storm Sewer _Eject _SS _Water _BT _WH _Sh _Lav _WC Other FEES: Valuation $ ;;;2.. c9 cJ ~;;'it Fee Paid $ / () d-- Park Dedication $ ISSUED BY o/~/7~. Date 7 -,,// -Y9 Final/O.P. ;7-.2-/ - y- '7 ,rT- I) I'~ DATE SiGNATURE ADDRESS TELEPHONE # ::~~TC~:~! ~ ~ ~ uc2P~ 2Ll.-;< / - 7 / OWNER .; , ~ L{h& ADDRESS .2 5" '/ - L-v' - / Y NATURE OF WORK ~~g: ~~. FIX'S APPLIANCES NEW CHANGE TEMP . :5 -I.v~ (j H-- VOLTS f~'FV AMPS.?ß7C-- SW'S RECEPT'S CIRC'S V SERvrcb~ FrNAL"1-:.>.M?Y PERMIT ~E~?;tt::ATE PDg-((-&7' SIGNS INSP. ROUGHIN EST. COST ::z. ODe:::.-- REMARKS / /