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HomeMy WebLinkAbout0026583-Electric (garage) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 26583 TYPE: BLDG 0 HTG 0 ELEC []l.-l2'LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS .;z. PLAN NO. OWNER ~ 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 ~LECTRIC CONTRACTOR ~ , Electric Serv. /~ New 0 Change 0 Temp 0 ~. ~ SWitches Receptacles Type _ Volts _ Amps_ 1:1 Fixtures -------- Circuits ~ 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 / 1...- / <,.- (9 C Permit Fee Paid $ ./ ;::...------ Date /.;J -9 -9'/ < Park Dedication $ Final/O.P. / tJ '-- 9' - ? / , FEES: Valuati In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~""''' ~-?~ ADDRESS TELEPHONE # OWNER ~DRESS ~:Ntl1RE OF WORK E EC. SERV. NEW D~--C. TYEE F1:X'S \~ SW'S ~PLIl'l!CES S1:"GNS 1:NSP. ROUGH1:N EST. COST ]cYt! ~ ~1<S .~ PERM1:~ NO.A 6 5" ~ ') ~ ' . . / ELEC. CONTR. SERvICE FINALlP.~:;1 PERMIT FEE .. _ ~ATE pD 1.1-1~i -- ~