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HomeMy WebLinkAbout0009244-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 09244 TYPE: BLDG 0 HTG 0 ELEC~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER 1::<9 0 flM~ c+ . f-fvrb~~') L~ ick-- PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK Ale- BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const; Height Occupancy Permit HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S <; ELECTRIC CONTRACTOR cS ECkl\-re-. - Fixtures i New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches IX..../ Receptacles Circuits.K 1AJ-, Electric Servo PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other Permit Fee Paid $ Date Y:. ;/ . tJ 0 Park Dedication $ .-; -1;2-. -griT Final/O.P. '7 -(;2- -r? ISSUED BY In the performance of this work I agree to perform all work pursuant to rules go~erning the described construction. SIGNATURE J~~) j(' s;,,;ck AGENT/OWNER ~7 - , 2--gt DATE ADDRESS TELEPHONE # OWNER I. ;Lf t:1- Cl-t~ CHANG:!!: VOLTS P<--" RECEPT'S T:l!:MP . AMPS CIRe's < ") PERMIT No.6 ". ELEC. CONTR. ADDRESS NATURE OF WORK ELEC. SERV. NEW. DESC. TYPE FIX'S SW'S APPLIANCES SIGNS INSP. ROUGHtN ! EST. COST I 00 ~ REMARKS SE~VICE PERMIT FEE ?' ~ ~tN.AL'7-U-ti DATE PD2,/.,.P,