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HomeMy WebLinkAbout0009262-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 09262 TYPE: BLDG 0 HTG 0 ELEC ~PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER I g70 Orch~J {~ ~ I?~s PLAN NO. ADDRESS 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 8ECf- -f\ t:- Fixtures New 0 Change 0 Temp 0 Switches . I>( Type _ Receptacles Volts _ Amps_ C;,cu;ts-V ~ ' 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 / Permit Fee Paid $ 4-.OU I Date ?" -( 2- - 2'" r - Park Dedication $ Final/O.P. Q ~/..2 - % ~ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ctd's r -f r;J-e/ , AGENT/OWNER 7-{2 -ft DATE ADDRESS TELEPHONE # OWNER PERMIT NO.O ELEC. CONTR. ADDRESS NATURE OF WORK ELEC. SERV. NEW DESC. '!'YPE FIX'S SW'S v<-- APPLIANCES CHANGE VOLTS RECEPT' S TEMP . AMPS CIRC I S-~ ~ SIGNS INSP. ROUGHIN f EST. COS'!' / t9 0 ~ REMARKS SERVICE .. l> PERMIT FEE t-f c!- F :INA.IJ7-/2. -19 DATE PD.7-h.f'(' I