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HomeMy WebLinkAbout0042793-Electric ~ CITY OF OSHKO'SH PERMIT - APPLICATION AND RECORD ? 2-1 N!!-- 42793 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ ;( ~~B~ _ E? _ ~I~~ _C? _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS ;j-.lfCftf- 2-<fVt, ~~/ flr OWNER ..J~<'(A-;7 ~ {' / DESIGNER PLAN NO. USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Cons~. HEATING CONTRACTOR I! Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo N~ Change Fixtures Switches Amps ?A!-il Receptacles ---- Circuits -- PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _Sink Other _ Eject __SS _ Water FEES: Valuation $ .3 0 00. 0 0 ~ermit Fee Paid $ ISSUED BY ~?t-..de~/l.~~ Date f/- <- / / Dr .j o ~o-o 1// z,YjI}C ,,/ Park De~ $ Final/O~ _5..23 .95 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 # /11()~ PERMIT NO. Lfz.- 7 <73 . APPL. ELEC. CONTR. q.-t.~ ~ r ~ Ie, "2-1 DATE , { ( /.~/, "I Q!1NER ELEC. SERV:o . C. TYPE FIX'S APPLIANCES GNS NSP. ROUGH N EST. COST 0 {) REMARKS TEMP . AMPS "l.A--D CIRC'S '-I PE f _A ::-r:--:---::... . 2-tGlc9 r'~