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HomeMy WebLinkAbout0001929-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 01929 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ _~ ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS ~ ({2)~.q. PLAN NO. OWNER ~ ;//t'c7~~ DESIGNER ;;4~ ~------ ~ 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 ~ Electric Servo New ~ Change 0 Temp 0 TYP~ Volts {.J.. Fixtures /( Switches X- Receptacles ,7--.. Circuits x ~ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEES: Valuation $ '. ISSUED BY V / . c.- / 5 CJ~~ Permit Fee Paid $ \ Date//~7~Y? . - Park Dedication $1 Final/O.P. :J..). //7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~d AGENT/OWNER ADDRESS //h-/? / DATE TELEPHONE # SIGNS INSP. ROUGHIN EST. COST REMARKS ~y-? PERMIT NO. tJ 1.~7 /" ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S ~ APPLIANCE . TEMP. AMPS,;;:2.... Q CIRe's ~