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HomeMy WebLinkAbout0026586-Electric ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 26586 TYPE: BLDG D HTG D ELEC ~BG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - ~ -//- - - - - -~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /676 <-#~ ~. PLAN NO OWNER ~ ~~. , DESIGNER ~. " ,~ "t-,' c--(../ USE/NATURE OF WORK ~ ~::",~07;6; ~;;...,~~)f) BUILDING CONTRACTOR Size Sq, Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ~ HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S E~ECTRIC CONTRACTOR ~ · .~ Electric Servo New ~nge D Temp D Type _ Volts _ Amps ~ ~, Fixtures ,.........--. Switches ~ Receptacles t.-- Circuit; .,~ 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 ISSUED BY ~ CJ () '~Permit Fee Paid $ ~ Date /c2 -r-7/ Park Dedication $ . ~/ Flnal/O.P. 7 I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /~-7/ DATE SIGNATURE ADDRESS TELEPHONE # PERMIT' No.2~ 5-1B ELEC. CONTR. OWNER ADDRESS NATURE OF WORK -/-~ ~ NEW , ~ W - 1/ SWIS TEMP . AMPS/do CIRC'S SI'GNS ..NSP . ROUGHIN e I -.' EST. COST REMARKS ......... .., .... .,.. '" .".,.... .....1... ."'" .... .....d ,;.'//,x.;;,;....;. .... H.', ..j,.."...... _. ',' ,,'..L