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HomeMy WebLinkAbout0015817-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 15817 TYPE: BLDG 0 HTG 0 ELEC ~PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ---... ---.................. -..... --... ---............ --.........-..... --... --'" --.......... --......-... ---... --'" -_.....- ---... OWNER I Qo5 ~ek.o(~ 1\,,, iLfusfv11 PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK serv I c.e ~ ~ 'j W~ ~~a--e- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR ~eat 0 AlC 0 Vent 0 Fuel/System Heat Loss, BTU'S ELECTRIC CONTRACTOR Lth....k. blectric... Electric Servo New IWChange 0 Temp 0 Type 3<.0 VOltsl20~ Amps ~ c;;y-{) Fixtures '/.. Switches X. Receptacles ><- . Circuits X -/ ~ ' 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 ISSUED BY /I ~ .CJ'/u 5 tf tJ Permit Fee Paid $ $'.5 ~ ,; Date /& -//.1-y'l Park Dedication $ Final/O.P. &> - y-~7' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' iJ. · ..' If)'''1J II,,~. , ~ ~~E~;;;;'NER 10110/ fir DATE ADDRESS TELEPHONE # PERMIT NO. 17 T/ 7 rb '- 7-73 ELEC. CONTR. OWNER ~~ ADDRESS NATURE OF WORK TEMP . AMPS~ 0 CIRC'S