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0008940-Electric
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 08940 TYPE: BLDG D HTG D ELEC ~PLBG D SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - ~- - /-~ - - - - - & - - -~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /" -J. ~~ PLAN NO OWNER ~ /' " DESIGNER USE/NATURE OF WORK ~~~r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height . Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /z.-u ~ c;/d Electric Servo New WChange D Temp D Type_ olts_ Amps~ a...---- e..--" ;,..-- Fixtures Switches Receptacles Circuits ~ 1JJ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ~ t:J 0 Permit Fee Paid $ Date / S~ CJ Park Dedication $ tt5 - :;;- :2- -zr Final/O.P. In - .3-.~Y ISSUED B In the performance of this work I agree to all work p rsuant to rules governing the described construction. ~o!r. SIGNATURE ADDRESS TELEPHONE # PERMIT NO. (!) ?9'??J ELEC. CONTR. APPL. 5 -/6 ~lT57 OWNER ADDRESS NATURE OF WORK ELEC. SERVo NEW "~ DESC. TYPE S "- ~ FIX'S ~ SW'S APPLIANCES TEMP. AMPS 2. 06 CIRCIS SIGNS INSP. ROUGHINO 'r! -1- EST. COST /'?- 00 REMARKS .--/, - FINAL~~J-~~ ) -0 ____DATE" PD -'-:2-Z"~