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HomeMy WebLinkAbout0043206-Electric (basesment) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p ( 2--. N~-' - 43206 :r:~E~ _ _ ~l~~ _~ _ ~T~ _ I? _ ~~E: _~ _ ~~~ _ I? _ ~'~~ _~ _ ~O_N~N_G _ _ _ _ _ __F~~~D_ ~~'~ _ _ _ _ _ _ ~~'~~_ _ , _ _ ADDRESS ""2--.0 "2- tJ ~ ~ ~~ /3~--- PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR '-....-. Size Sq. Ft. # Rooms # Stories Height Occupancy Permit II Foundation Class of Const. " HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ::f~ u.-A ~.~ t7V- ~~ ~~ ELECTRIC CONTRACTOR 0 ~ Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures ----Switches ~eptacles c--Circuits"'-- PLUMBING CONTRACTOR _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _DF _ CBasin _Lav _WC _Ur - San. Sewer - Storm Sewer _ Water _Sink Other _ Eject __SS /1 FEES: Valuation $ 602 Perml' Fee Paid $ 1'0, i> D ,/ . ISSUEDB~( ~~ Da.. ;2/:N/"iY' 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 OO~ }~j/,r - r - --a~~~-" t/!go!Jr ADDRESS TELEPHONE # ?-/''- PERMIT NO. , APPL. DATE 0/3 (j /7 ,V ELEC. CONTR. O~ OWNER ~~ . " ADDRESS 2-0"7--~ a~ ~ NA'rURE OF WORK ELEC. SERV. NEW DEst:. TYPE FIX'S SW'S APPLIANCES CHANGE VOLTS RECEPT'S TEMP. AMPS CIRC'S SIGNS INSP. ROUGHIN EST. COST REMARKS SERVICE PERMIT FEE l c!) ,0.:::> FINAL . DATE PD. '?/3'~}1 v f .....[