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0029369-Electric
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29369 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~R-E~~ - ;~; r - - e ~~~ - -~Z - -- - - - - - - - - ~L~~ -N~.- - - - - - - - - - - ~ OWNER DESIGNER ~ 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 []-eflange 0 Temp 0 Type _ Volts _ Amps L- tt7-d Fixtures ~itches L..---- Receptacles L--- Circuits"'---- ~ ~ 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 ,- p.--- o (J(! Permit Fee Paid $ Park Dedication $ Final/o.p.1{/c:2p/9~ . ISSUED BY Date SIGNATURE erform all work pursuant to rules governing the described construction. /k~/~ / DATE ADDRESS TELEPHONE # PERMIT' NO. ~ '? y~ / . ADDRESS NATURE OF WORK ELEC. CONTR. OWNER TEMP . AMPS /I CIRC'S SIGNS INSP. ROUGH N. .., '- ... EST. CO&..- 2';)60___ REMARKS