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HomeMy WebLinkAbout001925-Electric ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 01925 TYPE: BLDG 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - (2- - - - - - -.; ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ PLAN NO. ~~ . - - - - - - - - ~ - - - - - - - - - - ADDRESS OWNER DESIGNER USE/NATURE OF WORK ~~ c#~- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~gn-----T ~. Electric Servo New W'Change 0 Temp 0 Type_ Volts_ Fixtures >C Switches /-. Receptacles ~ Circuits Am~d ~. PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ LTub _ Eject _SS _ Water Other / tJ~ Permit Fee Paid $ _ t!f Date /; - 7-~ f, Park Dedication $ Final/O.P. / -- ~/ -i?7 . /~zdt':1. --V' ~ . FEES: Valuation $ ~. ISSUED BY ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~~, /~ 7cf6, F t/ E faWNER DATE ADDRESS TELEPHONE # ADDRESS NATURE OF WORK ., PERMIT NO. ELEC. CONTR. OWN.ER TEMP. AMPS eIRC'S ~ SIGNS INSP. ROUGHIN EST. COST 2 REMARKS ~