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Home My WebLink About0013022-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION A~D RECORD 13022 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I Z- Y ,:;- I-/tM tf)-- Si-. f0t !+1U W. { PLAN NO. ADDRESS OWNER 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 CONTRACTOR ~ ~ "" Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches Receptacles Circuits ~ 'hO Fixtures 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 FEESo valual;~O ISSUED BY ~~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. '7 ~;J-I7'- g Y' /' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 4~4~ AGENT/OWNER ~~? ATE ADDRESS TELEPHONE # A)2DRESS NATURE OF WORK PERMiT NO. j? ~ ?-- :2-- ,APPL. DATE ~ - .:2-/ - 79 ELEC. CONTR. .~-1' ~, ~WNER 4.T #.~ /;J-- Lf :) - N ~'V)/7 ~H~ VOLTS ~RECEP'I"S NEW ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SW'S TEMP. AMPS CIRC'S ~ ') SIGNS INSP. ROUGHIN o' EST. COST 1& cJ c-' -----' REMARKS SERVI CE c. FIN AL r -:7- 1"-87 PERMIT FEE rd:::- DATE PD..Lf -~ ?;-?