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Home My WebLink About0045875-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 6/'L- N! 45875 ADDRESS ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~:E~ ~ _ ~:B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ j)2-s ~ t/r1~~ I~/~ PLAN NO. OWNER DESIGNER ( ~.~ , USE/NATURE OF WORK ~~ A~...pt./ 1- ~- BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Q Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S t ELECTRIC CONTRACTOR //~ Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures ---Switches --- Receptacles ----- Circuits --- PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _ Water _WC _Ur _Sink Other _ Eject _SS / FEES: Valuatlo~ J · '" <:> !armi! Fee Pald $ fA S.;.. <:> / ISSUED BY I .~ Date 7,A 't} I 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 AGENT/OWNER DATE ADDRESS TELEPHONE # ""\ ~ . rP(L PERMIT NO. cf r !7 .J,. /" . APPL. DATE ,4" /9S ~LEC. CONTR. ,~ . e>WNER. /ldLA'~~ 'in~ais OF~~:(~~-# ~ ~ ELEC. SERVo NEW pESC. TYPE :fIX'S APPLIANCES ~ SIGNS INSP. ROUGHIN ~i? . COS'" ," 7 .} ~ ~r;[~ : ' SW'S CHANGE VOLTS RECEPT'S TEMP . AMPS CIRC'S SERVICE PERMIT FEE '3 ~ ' ~Y.d# ~~ aU' /A<~ '