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0033716-Electric
CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD tiP/I 33716 ~ N2 TYPE: BLDG 0 HTG 0 ELEC~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - OWNER 1~57 I I!!-. LyL- P s H D ~~,... s. t2:, IL.,/II- eJ~ I4~S~~b6t"/6 ~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK E./ L.,L,. -I r-J;' 1/L ) . . LV,I '" ~ LJ~ jl)1'. JJ..> A...oL> LS ""t.... . 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 S~h- ~/;Jlj- E'lL.<~rl-~;'~1 ~u-J--. .. Electric Servo New.fi?J Change 0 Temp 0 Type~ Volt~mps ~ 1iJ. Fixtures If? Switches ~ / Receptacles g~ ... Circuits 3 j \ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other Park Dedication $ Final/O.P. 2.; 3.93 ISSUED BY Date ~ -5 .... ff 5J In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~__~ cr .x1~ ,. AGENT/OWNER. .' .. .5-5-93 DATE ADDRESS TELEPHONE # ELEC. CONTR. PERMIT NO. O~ER ADDRESS N.1i\.'TURE OF WORK ELEC. SERVe DESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGHIN EST. COST REMARKS