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HomeMy WebLinkAbout0033461-Electric (temporary) CITY OF OSHKOSH PERMIT - APPLICA.TION AND RECORD ~-~(f/ 33461 ~ N2 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~% ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 3L';;l..S - #U4~ ~ ~-U:~ ~/ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~ , ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S Fixtures ~v/..v~ d~ New 0 Change 0 Temp~ Type#VO~# Amps /Ct!J Switches Receptacles rx...... Circuits ~ ~ ELECTRIC CONTRACTOR ... Electric Servo .. 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 $ . It? Date ~ -I ~ - ~ ~ .... Park Dedication $ Final/O.P. :2- - ~ -?:J' ISSUED BY :::A:::ai3 2 ~~~ pUffiuanl m rules gowmlng fue _~Iood ron;;~ ADDRESS TELEPHONE # OWNER ADDRESS NATURE OF WORK EC. SERV. D S'C. TYPE FIX'S APPLIANCES NEW ~tv - U SW'S SI'GNS INSP. ROUGHIN EST. COST REMARKS t:Jo~ CHANGE VOLTS 2..- ;J....-I.( ZJ RECEPT S, ,..-.../" .V ~ SERVI"~4 ~ FINAL2-->I"fCj PERMIT FEE I~::';::::-- DATE PD. . TEMP . AMPS p CIRC'S q