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1986-Electric (receptacles)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 _01256 TYPE: BLDG 0 HTG 0 ELEC j2g PLBG 0 SIGI\i 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS G /f #, .¿r,¡;t OWNER Z~, ~ 1/ DESIGNER PLAN NO. USE/NATURE OF WORK ad';'¿' /- /'I'~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. HEATING CONTRACTOR Heat ONC 0 VentO Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR O.J UP . Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps /} n - Switches Receptacles ,X Circuits - ~ Fixtures PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin _Lav - San. Sewer _WC _FDr - LTub _SP -Ur - Storm Sewer _Sink Other _Eject _SS _Water / ~ ~V' Permit Fee Paid $ 7' Park Dedication $ Date 9 -( ¿;J ~g &, Final/OP. 9' ~/ ¿J - ð Þ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ff ~~ 4 / AGENT/OWNER DATE ADDRESS TELEPHONE #