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0005166-Electric
1111 ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05166 TYPE: BLDG 0 HTG 0 ELEC}!( PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - USE/NATURE OF WORK PLAN NO. ADDRESS OWNER DESIGNER 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 Electric Servo New M Change 0 Fixtures ~ches P Circuits '-- ~'- PLUMBING CONTRACTOR _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water. ISSUED BY Permit Fee Paid $ Date } S'C~ ( 7-:;l '/-8"7 Park Dedication $ Final/O.P. /0 - '7 ~ <D '7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r/L ~~IC DATE ADDRESS TELEPHONE # PERMIT NO. 0 51 b (J ADDRESS NATURE OF WORt< 7-,Z/-?'j7 ELEC. CONTR. OWNER cIJ 17~C1-& ~~ /