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0014710-Electric (A/C)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 14710 TYPE: BLDG 0 HTG 0 ELEC K PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT _ _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ jgl{;) (ie Uv~ " J~ Ii 'H7~ - { ADDRESS PLAN NO._ OWNER DESIGNER USE/NATURE OF WORK AIL.- , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 Air; 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ U~ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches /' Receptacles Circuits (.-/ ~ Fixtures 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 Permit Fee Paid $ Date /0/ ;T-f/-?! Park Dedication $ If' ~ L/- - \77 Final/O.P. I 6 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE :tJ~ AGENT/OWNER p~' Ip q ~~ ADDRESS TElEPHONE # ',/ OWNER ---t 1 ~'1 {~~~4r (/ ADDRESS / f??-/2---Ci)}1.C--~ NATURE OF WORK ~ C. . .. . ,..- {. . .. CHANGE VOLTS RECEPT'S -~~7 PERMIT NO. ELEC. CONTR. SW'S A " TEMP . AMPS CIRC'S K- \"'" ELEC. SERVo ~ESC. TYPE FIX'S APPLIANCES NEW SI'GNS _NS . ROUGHIN EST. COST REMARKS SERVICE C/ C/ ~ PERMIT FEE / ;;:...:---