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HomeMy WebLinkAbout0046749-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~/L-- N!!-46749 ~P.E~ . . ~L~~ .~ . ~T~. ~. ~~E~;( ~~B~ . ~. ~I~~ .~ . ~O.N~N~. . . _ _ _ _F~~~D_ ~~I~ _ _ . . _ _ ~~I~~T_ _ _ _ _ ADDRESS 923 ~~ OWNER ~ ./)t'J-.-t_h.L..J P~N NO. 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 CONTRACTOR aq Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits 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 FEES: Valuation $ / () 0 . D 0 ISSUED BY 9- ;t-. Permit Fee Paid $ Date / I O.c -:J / ~7;9r Park Dedication $ FinaI/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER. DATE ADDRESS TELEPHONE #