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HomeMy WebLinkAbout0004178-Electric "'"-,l"'~ Ii( /' I~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04178 TYPE: BLDG 0 HTG 0 ELEC iJ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - _...- - -- -- - - -- - --- --... --- -- - --- --- - -- -- - - -- -- -- - - -- - -- - -- -- - -- - - - -- -- ADDRESS /7 cO O~a./L..A( . OWNER /~ ~ DESIGNER PLAN NO. USE/NATURE OF WORK ~ I. ...~ ~~.~ 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 ~ Electric Servo New ~ange 0 Temp ~ Type _ Volts _ Amps ~ Fixtures ~Switches "--'" Receptacles t:.- Circuits L-- ~ 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 Permit Fee Paid $ Date / t{ ~- / 6-/(-77 . Park Dedication $ Final/O.P. .5 - I ,- g J ISSUED BY :::A:~::M~::~ rules governing the de~"bed oonstructlon ADDRESS DATE TELEPHONE # PERMIT NO. !J 'it 7 ~ APPL. DATE ~~/ -577 ~~. '/~~.~ 17~O-..&~~ , ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SEnV. NEW DESC. TYPE 1- '-'l..- FIX'S APPLIANCES CHANGE '-" 4- VOLTS . 1~...{cJ RECEPT' S .. '<' TEMP. A AMPS C? 0 cn~ct S K: .6~ SERVICEc:?JA' -5-1 -g. FINAL5-1-"tJ PERMIT FEE o/-~ DATE PDt~I/.-w SIGNS INSP.. ROUGHIN E XT . COS T S /J ::-:-- REMARKS