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HomeMy WebLinkAbout0028826-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28826 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ A ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 17~/,-/Y~d-rn Zck ~~-k~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK L~~'tJ~~~./ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S . '1 ELECTRIC CONTRACTOR <:j. If-t!... . CI Electric Servo NeW~Change 0 Temp 0 Type;p!k/ Volts 1A:PIcJ Amps 2tJt;J Fixtures 0<...._ Switches ex:..... ~. Receptacles ~. Circuits A cp-/ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEES: Valuati Permit Fee Paid $ Date :;; ~~ Park Dedication $ ><- :2-- /:; - 9' 2- Final/O.P. 9/:kl /@ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~r~--~>" <- AGENT/OWNER --- ~~~,4.~ / TE ADDRESS TELEPHONE # ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ... TEMP . AMPS CIRC'S