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HomeMy WebLinkAbout0018027-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 18027 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - -~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Y 7yr- r2 ~ 6--V. PLAN NO OWNER ~ ~ · DESIGNER USE/NATURE OF WORK ~ 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 ELECTRIC CONTRACTOR .~P Electric Servo New 0 Change 0 ::-mp ~ Type ~ VOlts,%";@ Amps tf) ;J;) n, Fb<lures SwUches Receptacles ()<- - Clrcul1s I><..~ ~tI~ PLUMBING CONTRACTOR _WC _WH _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _Lav _ San. Sewer _Ur _ Storm Sewer _Sink Otber _ Eject _SS _ Water ISSUED BY ~ OV Permit Fee Paid $ '.t::J ~ Date 7' - /7 ~ ff~ Park Dedication $ Final/O.P. } '- /5'-~ YZJ In 1he pertormance 011hls work I agree 10 ~perform ~a" woO< pursuan110 rules governing 1he described construc"o:, -:; ---7 a. SIGNATURE ~ -' #/? ?/ AGENT/O /DATE ADDRESS TELEPHONE # PERMIT .NO. / Yo;:2-7 . ELEC. CONTR. O~ER ADDRESS NATURE OF WORK LEC. SERV. DC. TYPE <.. FIX'S APPLIANCES SI'GNS INSP. ROUGHIN EST. COST d :;.--- REMARKS SERVI v -- 5'- 90 FINAL)....15~f'O PERMIT FEE /CJ5!-- DATE PD./.f -/7-fc