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HomeMy WebLinkAbout0034885-Electric (a/c) ~/~ 34855 ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N! TYPE: BLDG 0 HTG 0 ELEC~ PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER 3{Ç 6~lJ.¡A}h s.+- . ¡1;¡ J ìs.Sd- tr'/~n-. '? /Y / ( - PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK AIL BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuei/System Heat Loss BTU'S ELECTRIC CONTRACTOR ,c;eLJ:-~ Fixtures New 0 Change 0 Temp 0 Type- Volts- Amps- ¿) ~ Switches X Receptacies Circuits y ~ Eiectric Servo 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 FEES: valuatiO~ ISSUED BY / Permit Fee Paid $ /O-ÓD /' Date 7-( c¡: ~7:) Park Dedication $ Final/O.P. 7-íLf ~9 ) -- In the performance of this work I agree to perform aU work pursuant to rules governing the described construction. SIGNATURE ~/'t--" t:-S;<¿j,¿ . 7-1t¡ - ì 3; I AGENT/OWNER DATE ADDRESS TELEPHONE.