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HomeMy WebLinkAbout0034548-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD ~/2- 34548 TYPE: BLDG 0 HTG D ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- - - - - - - - - - - - - - - - - - - - ADDRESS Iq4~ f1e ~~ S'.~. McwL ~~~ ,r PLAN NO. OWNER DESIGNER USE/NATURE OF WORK It/l~ , 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 (s'? C/k~ Fixtures New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches ~ Receptacles Circuits Y c;G-/ Electric Servo ~ PLUMBING CONTRACTOR _BT _WH _Sh ~Disp _OW _SP _ WSoft _ CBasin _Lav _OF _ San. Sewer _WC _FOr _LTub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS FEES: Valuation $ ISSUED BY Permit Fee Paid $ Date IO.tN ~ -7~? J Park Dedication $ Final/O.P. ~-:;J --? ,3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE A~ < L~/J~( L AGENT/OWNER r:o -- (1- 7 L? DATE ADDRESS TELEPHONE # ~. ELEC. SERV. DESC. TYPE .~ FIX'S APPLIANCES PERMIT" NO. ,J L-j f;' '/ ;1'" . APPL. DATE 6 -j~' ?) ELEC. CONTR. ~-"1' ~ / . ~~.~ /??/~-~ ~~ ~OJ- 6 . CHANGE TEMP . VOLTS AMPS REcEPT' S I CIRC'S< OWNER ADDRESS NATURE OF WORK NEW SWIS D<-- SIGNS INSP. ROUGHIN EST. COST REMARKS c;o~ SERVICE'. l PERMIT FEE jC)E!-- . . FINALt~..1-I')' " DATE PDb-?-~t