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HomeMy WebLinkAbout0023774-Electric (a/c) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 23774 ADDRESS ~~~E~ _ _ ~L~~ _~ . ~T~. C? _ ~~E~ ~~ ~~B~ _ C? _ ~I~~ .C? _ ~O.N~N_G _ . _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ . _ ~~I~~T_ _ _ . _ 11d6 tlvhk~ c \1-. Cr~ 6vk PLAN NO. OWNER DESIGNER USE/NATURE OF WORK frlC- 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 (S5r:j~ Fixtures New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Switches ~ Receptacles Circuits ~ A:\~ ~. 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 $ / {}Q]) Date' J -(CJ ~7/ Park Dedication $ Final/O.P. d -( t!J -?' / In the performance of thi work I agree to perform all work pursuant to rules governing the described construction. ~-taJ- 7( DATE SIGNATURE ADDRESS TELEPHONE # PERMIT NO. ,'APPi. DATE f~7 tJ -p/ ~ .~ ~~ ,eu&_ I t/ ~ . fA /? 1-"::':], U-r~- a- CHANGE VOLTS RECEPT'S TEMP. AMPS CIRC'S ~ ELEC. CONTR. OWNER ADDRESS NATURE OF WORK - ELEC. SERVo NEW DESC. TYPE FIX'S SW'S APPLIANCES ~ SIGNS INSP. ROUGHIN EST. COST REMARKS = SERVICE PERMIT FEE I () ~ ~