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HomeMy WebLinkAbout047043-Electric (kitchen) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD &/~ N!-47043 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ X ~~B~ _ C? _ ~I~~ _C? _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /is-o /-e" O~~ ~" f7~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK rd /3-?~hl/ . 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 CONTRACTOR 13~..I' ~' Electric Servo New 0 Change 0 Fixtures ~ Switches Temp 0 Type_ Volts_ Amps_ Receptacles ~ Circuits 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 FEES: Valuation $ ISSUED BY lfo .0 ,(;> " 91r Permit Fee Paid. $ Date // ")-0. d Q ./' Park Dedication $ ~ /..;--/7 ,~ r , , FinaVO.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE #