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HomeMy WebLinkAbout0042797-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD &t; N~- - 42797 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ K ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ ~ _ _ _ _ _ ~~I~~T_ _ _ _ _ 30 30 ,~7iI4/ ~ ~~'i./ ~ . PLAN NO. ADDRESS OWNER 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 CONTRACTO Electric Servo New ~ Change Fixtures Switches ~ Amp~. Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sew.er _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other Permit Fee Paid $ Date / .5;., O~;./ Park Dedication $ 1/(Z-ll:; Y 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 AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. V'~797 ELEC. CO~TR. ~~r OWNER ~d ADDRESS '30.3 0 N~ N'ATURE OF WORK ' . APPL. DATE /0.47,4 y , ' '(Pll ELEC. SERVo DESC. TYPE FIX'S APPLIANCES CHANGE VOLTS RECEPT'S TEMP . AMPS 'L...eJ 0 CIRC'S SI'GNS INSP. ROUGHIN EST. COST 0 REMARKS ./ v SERVICE PERMIT FEE FINAL DATE PD./;