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HomeMy WebLinkAbout0019345-Electric (a/c) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 19345 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS ~1~d!~~ . f PLAN NO. OWNER DESIGNER Ale- USE/NATURE OF WORK BUILDING 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 0'2 c/:--~ 85 c-(y/c Electric Servo New 0 Change ~p 0 Type_ Volts_ t~- .dD_. Switches ~ Receptacles Circuits--\:, v ~ _ Fixtures PLUMBING CONTRACTOR _FDr _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _BT _WH _Sh _Lav _WC _Ur _ Storm Sewer . _ Sink Other _ L Tub _ Eject _SS _ Water FEES: Valuation $ ISSUED BY Permit Fee Paid $ Date / lo.trD / ?-(('-?t!I , Park Dedication $ ~ ___(/_ d?l Final/O.P. L- / C/ In the pertormanee of this work~ agree to pertorm all work pursuant to rules goveming the described construction. . ' SIGNATURE d:1 "'-"1 (?~ cV 7- / 1-1 () AGENT/OWNER DATE ADDRESS TELEPHONE # OWNER NO.! 1 J tf 5 . APPL. 'OATE tf, - 7 -j?' c:7 CONT~. ~~ d~ ;;;~ ~ / ;2..1./ t1 -- JI u~~ . j;y.. c::L& PERMIT ELEC. ADDRESS NATURE OF WORK ELEC. SERVo NEW DESC. TYPE FIX I S SW 'St><... APPLIANCES CHANGE VOLTS RECEPT'S' TEMP. AMPS CIRe's K ) SI"GNS INSP. ROUGHIN EST. COST REMARKS SERVICE PERMIT FEE