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HomeMy WebLinkAbout0041222-Electric (a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p (7.-- N!!-41222 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~Y ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ d30 I ~t'ii;.- ADDRESS /'__ PLAN NO. OWNER ~~ ~ DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR #~---- cJ1A {'~ Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ 117. v-R- Permit Fee Paid $ ISSUED BY ~ ~/AA~ Date {i ( I I r.o<=> / ~JL--319 V- I r ' 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 # PERMIT NO. S4'..2 2. <- ELEC. CONTR. ~~ :~WNER . ~DRESS ,;)30/ ~~ ~ATURE OF WORK &(:#- j ~EC. SERVo NEW CRANGE .Q...ESC. TYPE VOLTS FIX'S SW I SRECEPT' S ~PLIANCES ~IGNS ~NSP. ROUGHIN EST. COST 1)7- ~~ REMARKS ~- ~ . APPL. DATE cPllfh!6 . 'f""""L.- TEMP. AMPs CIRC'S = -= -= SERVICE PERMIT FEE,. S":'" 0 -= F INALA/o..1l€ OATE PD4/L7~ =