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Home My WebLink About0005164-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05164 TYPE: BLDG 0 HTG 0 ELEC~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT: ~ - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - p~'i:~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~~~ //~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S Fixtures New 0 ~-----Switches TYP~ Volts /2 () Ampsl t:J () Receptacles "-"" Circuits r ~ ELECTRIC CONTRACTOR Electric Servo PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water. Other rFEES: Valuation $ ISSUED BY ~Aee- / ~/' Permit Fee Paid $ / 116 Date Y-;2- 7'-%""7 Park Dedication $ Final/O.P. g"" J. 3.~ g-r In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /LU/ SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # SIGNS INSP. ROUGHINZ' ~ '" EST. COST /. REMARKS PERMIT' NO. ELEC. OW~ER ~:..'" ADDRESS . NATURE OF WORK EC. SERVo DESC. TYPE FIX'S APPLIANCES , ,I.