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HomeMy WebLinkAbout0026266-Electric (bathroom) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 26266 TYPE: BLDG D HTG D ELEC bt PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT .. . . . . . . . . . . . . . . . . . .1"1:. . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . ADDRESS ::z... .:2... Y -- PLAN NO. /<t/--/I\ - ~~, OWNER DESIGNER USE/NATURE OF WORK ~.~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR j/ <::J- -;::r: -r (. IE. <:.- . Electric ServdNew 0 Change 0 Temp 0 Type_ Volts_ AmPN_ Fixtures; ~ - Switches X--. Receptacles ~_ Circuits ~ ~ PLUMBING CONTRACTOR _BT _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC _FOr _Ur _ Storm Sewer _Sink Other r _ L Tub _ Eject _SS _ Water t- /_ -c:x:;. V Permit Fee Paid $ ,.5 - Date //--( r= ~/ Park Dedication $ Final/O.P. I;) ~3 ()-- if} , ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~d~ ~~ AGENT/OWNER /P%hr ATE ADDRESS TELEPHONE # ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERVo NEW DESC. TYPE FIX' S 6( SW · S 0<..... APPLIANCES CHANGE VOLTS RECEPT'S ,/ TEMP. AMPS eIRC'S ~ c><t... SIGNS INSP. ROUGHIN ES T . COS T 2 Of) Cl!:.------ REMJ.\.RKS ~~ , SERVICE FINAL 11\.."''\0 ~,. PERMIT FEE /,::::'- DATE PD./I-/?-iJ/ I