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HomeMy WebLinkAbout0001089-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 01089 ~~P_E~ _ _ ~L~~ _~ _ ~T? _ C? _ :~E~ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ a~~, ~~~~ ?J OWNER /cf'66 ~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Fixtures New 0 Change 0 Temp Q( Switches Receptacles Electric Servo 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 Permit Fee Paid $ Date LI ~ / ~-.:z g-~y~ Park Dedication $ Final/O.P. zr .:.::- !/-- g to ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ / AG DATE ADDRESS . TELEPHONE # PERMIT NO. ADDRESS NATURE OF WORK ELEC. SERV. NEW DESC. TYP:E Lv - c::J FIX'S SW'S APPLIANCES CHANGE TEMP . -VOLTS 1 . ;::2- UO AMPS G RECEPT' P( CIRC' S ~ SERVI~~6FINALX'-li-gb PERMIT FEE ~ . -DATE PD.F~-g6 SIGNS INSP. ROUGHIN ~ EST. COST 5---C) ~ REMARKS F l