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HomeMy WebLinkAbout0013493-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13493 TYPE: BLDG 0 HTG 0 ELEC Q(' PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT w w _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _'. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /(03 8> i<sr~JFJ_ ~fS U'---. PLAN NO. ADDRESS OWNER DESIGNER .k/C- ./ . I 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 ~____ ~~ Electric Servo Fixtures New 0 Change 0 Temp 0 ~ Receptacles Switches Type _ Volts _ Amps_ Circuits ~ ~ PLUMBING CONTRACTOR _BT _WH _Lav _Sh _WC _FOr ): _Sink _LTub .pther _Disp _OW _SP _ WSoft _OF - CBasin - San. Sewer _Ur - Storm Sewer _ Water _ Eject _SS ISSUED BY Permit Fee Paid $ Date tb V-/ ~~;z;2-F9 Park Dedication $ Final/O.P. '5 - / 0 -F .7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~L~ AGENT/OWNER 5~z-~/ , DATE / ADDRESS TELEPHONE # PERMIT NO~ -8 ELEC. CONTR. OWNER ADDRESS NATURE OF WORK //Af ~..e~~ d~ c..- CHANGE VOLTS RECEPT'S TEMP . AMPS CIRC'S ELEC. SERVo NEW D . C. TYPE FIX" S SW'S APPLIANCES SI'GNS INSP. ROUGHIN E T. COST REMARKS .. r tJ ~ PERMIT