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HomeMy WebLinkAbout0009146-Electric (new service) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 09146 TYPE: BLDG'O HTG 0 ELEC ~BG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - - - - - - -- ADDRESS ? /0 ¿J ILl íh OWNER Q () be. A í ~ i..u " (' II >1 PLAN NO. DESIGNER USE/NATURE OF WORK h €u..J S€(V}¡'CQ. BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Ciass of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuei/System Heat Loss BTU'S Electric Servo Ho~hhe.- New 0 Change ~emp 0 Type J íJ Voits /;)0/2«0 Amps ~ Switches ¿..--- Receptacles ~ Circuits [: lee ELECTRIC CONTRACTOR Fixtures 9/J( PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _WSoft _DF - CBasin - San. Sewer _BT _WC _FDr _SP _Ur - Storm Sewer _Sink Other _LTub _Eject _SS _Water FEES: Vaiuation $ ...-- ~ Permit Fee Paid $ ~ Date -7 - r ~2??" Park Dedication $ Final/OP. ~ -.5- - 2f p-- ISSUED BY In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. SIGNATUR~ /~ AGENT/OWNER '7 /'i! 1'18' DATE ADDRESS TELEPHONE # PERMIT NO. 09' /?if:; APPL. DATE ¡f/ :2. Y-:?;J/ ELEC.~CONTR. ~ ~ OWNER, ~-z.;7- ~.r:----1- ./ ADDRESS ]/¿;¡ - ~~/ NATURE OF WORK ~LEC. SERVo NEW DESC. TYPE J ~1 d FIX'S SW'S APPLIANCES FINAL73"W DA3E PD.7-g-'jf §IGNS INSP. ROUGH~N ~ EST. COST 5JtJ REMARKS ') /