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HomeMy WebLinkAbout0001365-Electric ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 01365 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _C? _ ~~E? I( ~~B~ _ C? _ ~I~~._~ c ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ !1 S-t.) I!cl.~ J A.I?:' ~ P <<A~ j ADDRESS PLAN NO. OWNER fu 4::~ DESIGNER USE/NATURE OF WORK ;(/e LA ) I-I~ . 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 ELECTRIC CONTRACTOR E/~r 'Z'-7 --- Electric Servo Fixtures ~ 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 t C' :25:-- ...;- "'" 0 <;. / , Permit Fee Paid $ ./ C/ ----- Park Dedication $ Date 9 -j 7 ~:if /,; Final/O.P. I D .- ;2 ."J -PC, ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~- t:.- ( GENT/OWNER DATE ADDRESS TELEPHONE # ELEC. CONTR. C;,/) 65 PERMIT NO. e: .. ~ TE~. ..E ~S::<(JO CIRC'S SIGNS INSP. ROUGHI EST. COST REMARKS