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HomeMy WebLinkAbout0003091-Electric (temporary) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03091 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~f!(!:~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS yCJJ ~."J b. . . PLAN NO. ~d~ ~ OWNER DESIGNER USE/NATURE OF WORK BU'LDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR .~ --L. Fixtures Switches Receptacles . /~(P ..~ VOlts~ Amps----=-- Circuits ~ Electric Servo New 0 Change 0 Temp ~ Type 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 ISSUED BY Permit Fee Paid $ Date / L)~ v1 _3 ~ /1-'77 Park Dedication $ Final/O.P. ;J -& -- 7..7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~;?f::3a>'_..d:---~ V AG TIO . DATE ADDRESS TELEPHONE # PERMIT NO. 0 APPL. .3' -~ -~ ELEC. CONTR. OWNER ADDRESS N ATU R"E OF WORK /.2CJ>-'N~ , ELEC.. SERVo NEW DESC. . TYPE ..- ~ - FIX'S APPLIANCES CHANGE VOLTS t -,<-v ;::;i- RECEPT' c><: .~. $ERnC ., +'1; FINA!.~-?-t7 PERMIT FEE &.f~ATE PD.1.-tl-97 SIGNS INSP. ROUGHIN EXT. COST ~-~ ~. REMARKS