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0008796-Electric (wire a/c)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 08796 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ... --.. --...... --.. --.... --... --.....-.... -- ---.. --.. --.. --.. --.. --........ --........ --.. --..-.. ---.. OWNER );20~ -rz~~ Hwr~G6 Z~~"Vr' PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK AfC- , 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 ELE9TRIC CONTRACTOR cS ~ c>f-e-r.. u~cfyYc- Switches Receptacles Circuits A- ~ Electric Servo ~ Fixtures New 0 Change 0 Temp 0 C>( - Type _ Volts _ Amps_ 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 Id- V/ Permit Fee Paid $ . 0 D Date ~ -/5"' -}T 2T Park Dedication $ Final/O.p. ~ -( S- - -g- r ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE --eP'z,v, e S;~k- G,~I.~-t( AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. /!) Y7?tf' APPL. DATE tf -0 -TT Et.EC. CONTR. .-&-c'k az: cr~~~ /~o.5~ #~ ~ ~ Cc_ CHANGE VOLTS RECEPT'S OWNER ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES NEW SW'S ~. TEMP. AMPS CIRC' S~ ~IGNS INSP. ROUGHIN J c SERVI CE ~ . FINAL' ~/ r-Z$ EST. COST 1 OtJ -=:.---- PERMIT FEE 4~ DATE PD6-!).-$' REMARKS .