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HomeMy WebLinkAbout0036456-Electric (upgrade) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 ~5yc 36456 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ k ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~b_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 11c+'-f M~(tf-:. /lr. ADDRESS PLAN NO. OWNER 9 DESIGNER USE/NATURE OF WORK 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 (~~ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _ Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other Permit Fee Paid $ Date / 'z.-o .0 0 ,,/ , 0 j, 9/7") / Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE d!ffi~ 8 ~ &/17 f:r AGENT/OWNER DATE ADDRESS TELEPHONE #