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HomeMy WebLinkAbout0023794-Electric JJI,__~,... ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23794 TYPE: SLDG 0 HTG 0 ELEC IX, PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS I~OS GEo,R.G,E- o~ c II/JRO L;v , ;/;/1 A-J/~:1:: a PLAN NO. OWNER DESIGNER USE/NATURE OF WORK LuUE- f-J/i0-J )hu s&E BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo Fixtures \(' New ~ Change 0 Temp 0 Type ~ VOlts~OAmps ":>0 (J Switches .x: Receptacles ~ Circuits " 2u.. J-Ges. &.ec r ELECTRIC CONTRACTOR ~ 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 ISSUED BY Permit Fee Paid $ Date 8"'5~ ~ -/~-j?/ Park Dedication $ Final/O.P. S' ~7- ctl FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ J~~~ ~~/ OpE ADDRESS TELEPHONE # PERMIT NO. 2.) 2' '1 7- AP~L. ~ATE 5 ..2J~7;/ ELEC. CONTR. ~ ~ p ~ ?n~ /7tJ.5-~ O~~/ . ~/7/ " DC OWNER ADDRESS NATURE OF WORK SIGNS INSP. ROUGHIN EST. COST REMARKS TEMP. AMPS ;;2 (f CJ CIRC'S ELEC. SERVo DESC. TYPE FIX'S APPLIANCES