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Home My WebLink About0040545-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (pC{o N~ 40545 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ ~ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ ,- _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /333 ?d~f , fr. :J~ r:%dM-t"~ { PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Consi; HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~-e~ ~ Electric Servo New cl-change 0 Temp,P(' Typeo!l+ VOlts~ Amps IdiJ Fixtures Switches Receptacles Circuits 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 FEES: Valuation $ / tJ o. 0<> Permit Fee Paid $ ( 0, c:!l 0 ISSUED BY f~ ~~ '- Date 7 Allt:; y Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # 6'fO PERMIT NO. t?j--- J-- . APPL. DATE -,/-0 y ELEC. CONTR. OWNER P- 9~1 ~ . ( f/ ADDRESS 1333 uJ~~ NATURE OF WORK ~ SW'S elr CHANGE VOLTS "3.."v RECEPT'S ~~ AMPS. J-o CIRC'S ELEC. SERVo DESC. TYPE ~"IX' S APPLIANCES NEW srGNS INSP. ROUGHIN EST. COST ~KS SERVICE PERMIT FEE FINAL DATE PD.