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HomeMy WebLinkAbout0033462-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 6// N2 33462 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _b( ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~, _ _ _ _ _ ~~I~~T_ _ _ _ _ 3CJ;zs-'-II~~ ~~~ ADDRESS PLAN NO. OWNER .; DESIGNER USE/NATURE OF WORK t...U~~. /~___ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ ~ Electric Servo NeW~Change 0 Temp 0 TYPP.Y~VOI~ Amps:J..t:lO Fixtures ~ Switches ~ Receptacles ~ Circuits tx:. 9- PLUMBING CONTRACTOR _Sink Other _SS _ CBasin _ San. Se"'Yer _ Storm Sewer _ Water _Lav _WH _Sh _Disp _DW _SP _ Eject _ WSoft _DF _BT _WC _FDr _ L Tub _Ur / ?;-~j Permit Fee Paid $ b Date ~ -/~... Y.3 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{iJ~ (! ~ ~-/y'-72 , AGENT/OWNER DATE ADDRESS TELEPHONE #