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0006649-Electric (temporary)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06649 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT .... --........ --.... -.... woo.. _.... _............ _.. __ ___ ___ _.... _.... _.... _.. _..... __.. _......... _.... ___.... ~-~.~ ~~c~....~- PLAN NO. ADDRESS OWNER DESIGNER % ~j c;:x:;::? ~/ <IY USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation i Class of Const. Occupancy Permit HEATING" CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Fixtures New 0 Change 0 Temp r:g-- TYP~Volt L;-t./'tJ Amps_~. " Switches Receptacles ~ Circuits' .~ / ~ Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo 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 FEES: Valuation $ ISSUED BY Permit Fee Paid $ Date Jj.;#--'/ /~-:;;J-:;Z-2? ? Park Dedication $ Final/o.p.l;;2. .... 3 --if ,7 SIGNATURE k I agree to perform all work pursuant to rules governing the described construction. /~ -t7 / DATE ADDRESS TELEPHONE # ::::TC::~R~~~/X /-77 ADDRESS / 9",- ;,-- ??7~'p/~~ NATURE OF WORt< . . /// - I . CHANGE. . VOI..TS) '?- tf RECEP S TEMP. n AMPS 6 CIRC'S/K -) J. - - ~7F INAL/;z '? ~ "7 ~ DATE PD':.2-.:2Z-'$1 .J . t t.1 ;1.",