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Home My WebLink About0004174-Electric ~ CITY OF OSHKOSH N2 PERMIT- APPLICATION AND RECORD 04174 TYPE: BLDG 0 HTG 0 ELEC WPLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ . ~ : J:::;~:;; .. . . . . . . . . . . . . . . ~~~ ~~. . . . . . . . . . . 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 Electric Servo ,c:dL-. . ,,'-.. Change 0 Temp ~ Type _ Volts _ Amps~ C) ELECTRIC CONTRACTOR New 0 Fixtures Switches Receptacles Circuits ~ PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _FDr _ L Tub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water r- A cd::'- FEES, Valua~ J _ C/ :::...:;...-- ISSUED BY. ~ Permit Fee Paid $ Date / J-f ~- // Park Dedication $ & -1/--3'7 Final/O.P. " -3-$7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ . P AG" 'ow'" DATE ADDRESS I TELEPHONE # PEhf-nT NO. e tf / Z i ELEC. CONTR. ~._~g OWNER .ADDRESS NATURE OFWORI< ~/7~)-- ~.d/~ ELEC. SERVo NEW DESC. TYPE J_W - FIX'S SW'S APPLIANCES e:J.... TEMP. AMPS . b.. 4--7 CIRC I S -f' -'_..l: ~ -" .s I GNS INSP.. ROUGBIN EST. COST '7 # ""';:. REMARKS -C~