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HomeMy WebLinkAbout0045157-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~ I{ N! 45157 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~;Y_ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 3010 ,/I~tiA//Y ~ ~ . PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK IlLuJ ~ BUILDING CONTRACTQR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. ~ HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S " ELECTRIC CONTRACTOR C'..u/.>rL~C Electric Servo New ~ Change 0 emp 0 Fixtures Switches Receptacles Type l( /111 Volts "3 uJ Amps.-ili Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ Eject _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _SS /" ~ . .y' Permit Fee Paid $ ~ 0 , .!) 0 - Date j7S-~ f7 J~ , Park Dedication $ Final/O.P. q. /.15 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE AGENT/OWNER ADDRESS TELEPHONE # PERMIT NO. 'f ~ I S..p, . APPL. DATE ELEC. CO~TR. !1#u~~ OWNER ~ :JgR~OSS . , .~ ~ ~ATURE OF WORK 11~ ~ ~ . ELEC. SERV. NEW CHANGE DESC. TYPE q f t" VOLTS '3 W FIX'S SW'S' RECEPT'S APPLIANCES 5/2,/7 jr TEMP. AMP S '1-0" CIRC'S , SERVICE 5i PERMIT FEE