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HomeMy WebLinkAbout0044403-Electric (temporary) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~(J I N!! 44403 ~P_E~ _ _ ~L~~ _~ _ ~T~_ ~ _ ~~~~ !t ~~B~ _ C? _ ~I~~ _~ _ ~O~~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /' .// . ADDRESS /'1 sts ;rr~ ~ PLAN NO. OWNER ~dJu~~ 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 C" ELECTRIC CONTRACTORi {AH1AA/ ~ c EIec1ric Servo New ~hange 0 Tem~ Type Lf p~ VO~W AmPS~ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _FDr _ LTub _Disp _DW _SP _ WSoft _DF _ CBasin _WC _Ur _San. Sewer _ Storm Sewer _ Water _Lav _Sink Other _ Eject _SS FEES: Valuation $ 5'0. 00 Permit fee Paid $ ISSUED BY ~ ~ Date #' . Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE AGENT/OWNER ADDRESS TELEPHONE # hOl PERMIT NO. V- V 'f tJ '.3 . APPL. DATE ELEC. C~ OWNER ~ Ji.DDRESS Icr tf r- # cbJ..., k- NATURE OF WORK' _ ~LEC. SERVo NEW DESC. TYPE FIX'S SW'S APPLIANCES CHANGE VOLTS RECEPT'S G:~ AMPS CIRC'S <C. SIGNS INSP. ROUGHIN EST. COST S-o REMARKS SERVICE ~ FINAL PERMIT. FEE I DATE PD .Cf!6/9,'---