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Home My WebLink About0004166-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04166 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - ;~;- - - ~~ - -6. - - - - - - - - - - - - - - - - - - - - - ~L~~ ~~.- - - - - - - - - - - OWNER ~/f!L~' DESIGNER ,~~~ USE/NATURE OF WORK 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 Servo New [ll/Cflange 0 Temp 0 Type _ Volts _ Amps ~ .....-- Switches ,....-.. Receptacles L-- . Circuits '-- ~ '" ELECTRIC CONTRACTOR .. Fixtures ~, PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other / c5 t:J g3:-/ . to --II' - 7,'7 Park Dedication $ Final/O.P. ISSUED BY Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~~. SIGNATURE DATE ADDRESS TELEPHONE # PERMIT NO. ~ t.f 16 (, APPL. DATE 1-( ~/ t:I-g 7 :::::~~TR. t~~~ ~p6{~::;J:205 ..~ u<- ~ATURE . OR ~ /A.-r.~~ 'ELEC. SERV. NEW PESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGH!N t) "-- '{---- d EXT. COST /) (;rJ ~-~~