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HomeMy WebLinkAbout0026845-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD BLDG 0 HTG 0 ELEC ~BG 0 SIGN 0 ZONING 26845 TYPE: FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~r;~ j-t{~ KoV'v . / OWNER Po tJo.frl r ,57 tL S? Lo..., J! /~ UJ c z:.... , PLAN NO. DESIGNER r USE/NATURE OF WORK 5 't" " U (C' e 3W .~o ~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ,",,' ,,', ,,',' "',I HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ,Yo L h VJ ~ Electric Servo New ITc;,ange 0 Temp 0 Type 3.kL- Volts)~t.~ Amps~ 'Fixtures K...... Switches c::><.-. Receptacles rX--.. Circuits K....) ~ " PLUMBING CONTRACTOR _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY ..... Ai /"'l C' (;, . -'f7"c: ~ /' l/ L/ ~rmit Fee Paid $ () :/ Park Dedication $ Date .1;;2 --[ 3/--- 7;/ Final/O.P. <)-- ;;;1 ~ 9';;l. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~ ( 17 SIGNATUR~~ /~ AGENT/OWNER r:J- y/ ~ 9'( DATE ADDRESS TELEPHONE # OWNER 7--? ~tf ~- . PERMIT NO. ELEC. CONTR. ADDRESS NATURE OF WORK ~' 2{)65 - /' ~. t>< CHANGE VOLTS I.A;'>-if(.? RECEPT'S TEMP . AMPS . tJ tJ' CIRe's ~