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0000726-Electric
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 00726 ~~P_E: - - ~L~~ -~ - ~T~_l? - ~~E~ j;( ~~B~ _l? - ~I~~ -~ - ~O_N~N_G- ~- _F~~~D- ~L~I~ ~ - ~~I~~T~ 7/5,-- 6~ ~ Jf)~~- P' ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /f/~ CÆ/ ~~ ~ 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 , New ~hange 0 Temp 0 Type. Fixtures IX Switches X' / Receptacles H<::..- ÎV' Volts~mps 1&0 (){ Circuits At ~ PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft - CBasin - San. Sewer _Lav _DF _WC _FDr _LTub -SP _Ur - Storm Sewer _Water _Sink Other _Eject -SS FEES: Valuation $ ISSUED BY~ CJ ~ Permit Fee Paid $ ;J-.Cl':::"-- Date $- / - ;;56 Park Dedication $ Final/O.P. q -02<?-S'¡;' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,,""ruee ~~. OATE ADDRESS TELEPHONE # OtJ72C; PERmT NO. ~# (~.DATE 7 -/ ¿:J ~% c: ELEC. CONTR. U/. OWNER /J ~ ~ /-:::J ?/ ADDRESS 7/ 5' - '<::.J r~ ~ NATURE OF WORK 7 ,; SIGNS INSP. ROUGHIN EST. COST - 00 ~ REMARKS TEMP. AMPS (!)O CIRC'S ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SERVICE PERMIT FEE