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HomeMy WebLinkAbout0013513-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13513 TYPE: BLDG D HTG D ELEC p< PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER ~1Z 'f~()Yd~cR l PLAN NO. ADDRESS DESIGNER USE/NATURE .OF WORK klc- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ ~~ Electric Servo New D Change D Temp D vr Switches Receptacles Type_ Volts_ Amps_ Circuits V 19- Fixtures PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: valua'k>~O Pennl' Fee Paid $ ISSUED BY ~ Date 10 all ~7 -;z..:7- -?,? Park Dedication $ Final/O.P. 5 - ::>-:;;l.--y.y In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ AGENT/OWNER ~'- ;;;1 DATY ADDRESS TELEPHONE # PERMIT NO. /JJ~. . APPL. DATE > ELEC. CONTR. ~4 ~~. ~~K~. . ~/ 7 ; (l _~~-et?~... ~~ g----Q? OWNER ADDRESS NATURE OF WaR!( CHANGE VOLTS REcEPT'S TEMP . AMPS CIRC'S~ ELEC. SERV. NEW DESC. TYPE FIX'S SW 'S 1'7""--- bPPLIANCES SI'GNS INSP. ROUGHIN I . EST. COST j tSl. C5> u - REMARKS SERVICE FINALJ"-;2;1- PERMIT FEE /CJ ~DATE PD. -~J.-