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HomeMy WebLinkAbout0029751-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 29751 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ ~ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /&~~ ~-Icvs G~. Sfvwrt rL1.L~~Ar' ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~ ~ - ;200AtvlP uc; 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 5'2 rl ":::>/ Electric Se"'_ New j:;I(Change D Temp D Type3w VoltsdYo Amp~OO ~ Fixtures Y Switches y- Receptacles _~ Circuits /\ ~ 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 / g /~ Permit Fee Paid $ C. 0 ,::J Date 7 -( 7-72 , Park Dedication $ Final/O.p.!;-d9~q .3 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE cn2-/ ~~'"'~'" 7-/~~)~ DATE ADDRESS TELEPHONE # ADDRESS NATURE OF WORK TEMP . AMPS.2uO CIRC'S ;Y PERMIT' NO. A tJ 75 ELEC. CONTR. OWNER , ~ SI'GNS NSP. ROUGHIN EST. COST REMARKS 9)~