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HomeMy WebLinkAbout0046733-Electric (a/c) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p I L,:::h"M , N!! 46733 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ x- ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ ~~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ I~II /3~~- ,--- ~~~ ADDRESS PLAN NO. OWNER 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 ,? ~ ---u. ~ / Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _SP _ WSoft _OF _ CBasin _WC _FOr _ L Tub _Ur _ San. Sewer _ Storm Sewer _ Water _Lav _Sink Other _ Eject _SS / If aU ./ Permit Fee Paid $ " ", DateJ:/1 J. ~ ~-- Park Dedication $ Final/O.P. FEES: Valuation $ Irs- 0, 0 I ISSUED BY l.t- 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 #