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HomeMy WebLinkAbout0013514-Electric (a/c) ~ CITVOF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13514 TYPE: BLDG D HTG D ELEC ,~PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ~~~;E~~ - - - - - - - - - - rgi ~ - - 0 ~i-;;d- ,- - - - - - - - - - - - - - - - - - - ~L~~ -N~.- - - - - - - - - - - OWNER Kc=:?SSh'l/)s'S ~4:;;>L~ -^ . I ~ DESIGNER USE/NATURE OF WORK-4 ( L- . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ Fixtures New D Change D Temp D r/' Switches Receptacles Type _ Volts _ Amps_ Circuits (,.../' w-- Electric Servo 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 ISSUED BY Permit Fee Paid $ Date "' /2) y/ 5 ~ ~~-Y7 Park Dedication $ Final/O.P. )' - ::2-;;J..--?Y In the performance of this work I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER S-h~/?l I DAT.{ SIGNATURE ~~ ADDRESS TELEPHONE # OWNER ADDRESS NATURE OF WORK ~- )-~1!7' PERMIT NO. ELEC. CONTR. SW'S U~& CHANGE VOLTS LX.. RECEPT'S TEMP . AMPS CIRC'~ ELEC. SERVo D~C. 'rYPE FIX'S AP LIANCES NEW SI'GNS INSP. ROUGHIN SERVICE' FINAL '-7-7-(9 EST. COST / /f CJ:!J--' PERMIT FEE /tJ~ DATE PD. r-)!:t-;? , REMARKS