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HomeMy WebLinkAbout0043612-Electric b 1/ N!- - 43612 ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~P_E~ _ _ ~L~~ ~ _ ~T~ _ ~ _ ~~E~ ~ ~~B~ _ ~ _ ~I~~ _~ _ ~O~~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ I USE/NATURE OF WORK I?~? Me tJ.,fA~ -D~AA~ ~ 4ud~ PLAN NO. ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR , Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S El::ECTRIC CONTRACTOR Electric Servo Ne~ Change 0 Fixtures Switches Type _ VOlts;? W Amps / ~ Receptacles 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 I FEES: Valuation $ ~ ~ " . 0 0 Permit Fee Paid $ ~ , .c> -0 ~ ISSUED BY ~ ~~ Date ~ 7;t; J/' Park De.dd~;C /',/l'P Final/~~ 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 # DATE .;z/G /'15 ELEC. O~1_ER ELEC. SERVo DESC. TYPE FIX'S SW'S APPLIANCES CHANGE VOLTS CA/ RECEPT'S TEMP. AMPS / CIRC'S SIGNS INSP. ROUGHIN EST. COST ~.,.9 ~KS SERVICE PERMIT FEE )??hI-{ ~~. au.~. .a~A--j