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HomeMy WebLinkAbout0044682-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD &/ I N!! 44682 TYPE: BLDG 0 HTG 0 ELEC~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - OWNER 192-7 ~~~ ~.c#- PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK 11~~ 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 A .. ELECTRIC CONTRACTOR ~ ~ / Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FDr _ L Tub _Disp _DW _SP _ Eject _ WSoft _DF _Ur _SS _ CBasin _ San. Sewer _ Storm Sewer _ Water _WC _Sink Other // (/" FEES: Valuation $ ;?-oo 8. () ro Permit Fee Paid $ ISSUED BY f:rIlv /~A.!~ Date SiD,lJo y!'ZG,!f' )r Park Dedication $ Final/O.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 #