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HomeMy WebLinkAbout0003438-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03438 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~k ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS / t!""J ~ tffJ~~d ~ "~~~. PLAN NO. OWNER DESIGNER USE/NATURE OF WORK #U-J ~tO~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ r~ Type _ Volts _ Amps P-J Electric Servo New 0 Change 0 Temp 0 I.--- Switches '- Receptacles .;..- Circuits t-- 11Di Fixtures 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 Permit Fee Paid $ Date I 'i~V J/'-!J-1J.7 Park Dedication $ Final/O.P. 1 - 2 "3 --I?'/ '-"""" ~ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~~~~ Y AGE I ' SIGNATURE DATE ADDRESS TELEPHONE # PERMI'l' NO. (J)'"] /.f- 3 7 APPL. ELEC. CONTR. OWNER ADDRESS NATURE OF WORK / Y? c1--c:?~ ~ ... .. . ELEC. . SERV . NEW DES C. TYPE f ~ lA..-.-- - FIX 'S' APPLIANCES CHANGE l../ ,VOLTS RECEPT ;2j,.,-(/ ._~ SIGNS INSP. ROUGHIN EXT. COST REMARKS