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HomeMy WebLinkAbout0001927-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 01927 TYP.E~ . . BL~~ .C! . ~~. E? ~~EC ~~B~ . o. ~'GN .0 . ZO.N~NG. . . . . . FL~D PLAIN. . . . . . ~EIGHr . . . . ADDRESS (~c::? &~~4' PLAN NO. OWNER ~~7 ~? ,.. / DESIGNER USE/NATURE OF WORK ~~. 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 :J!!!! Electne Se"'. New ~ Change 0 Temp 0 Type?VOlls /. I::4.mps/",...J , Fixtures ,;( Switches ,-^ Receptacles r'-. Circuits _--( ~ 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 / a-J 5 (J 0-'/ FEES, Val,atlon $~ ' . Penn' Fee Paid $ _ 0 ~ Parl< Dedication $ e ISSUED BY ~ ~~ Date/ / 7 Y ~ Final/O.P. 7"....{:l - 0 1 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~&'( ~ #~ ~ /". AG T/OWNER / DATE ADDRESS TELEPHONE # PERMIT NO. C2! Y;:/7 U TEMP. AMPS / CJC/ CIRC'Sf ELEC. CONTR~ OWNER ADDRESS NATURE OF WORl<: ELEC. SERVo DESC. TYPE FIX'S A APPLIANCES ..; SIGNS INSP. ROUGHIN EST. COST /" REMARKS ~>, .'>,' ,;;o.,~<:,:~;j.