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HomeMy WebLinkAbout0043614-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD t/7/ N! - 43614 ADDRESS ::~E~ _ _ ~L~~ _~ _ ~T~. E? _ ~~E~ X ~~B~ _ E? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ . ~~'~~T_ _ _ _ _ nO 1<<t<~~ F /~'7!~"hA ~~. PLAN NO. OWNER DESIGNER USE/NATURE OF WORK I&~ Y- /4d. BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S · , .f. ", . ELECTRIC CONTRACTOR ~~~ / Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _OF _ CBasin _ San. Sewer _Lav _Sh _OW _SP _Ur _ Storm Sewer _ Water _WC _FOr _ L Tub _ Eject _SS ~Sink Other /' /" /" o "3 ~~ , () Q V"' FEES: Valuation $ r tJ 0 . c -0 Permit Fee Paid $ . ISSUED BY ~/e(LUer#.-./ Date //2-7 is' j .- 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 # li?' PElU'UT NO. lfJ~ f <I . AI1PL. DATE - -- :: CON~l~;~ ;;DRESS · y10 ~ /~ ~TURE OF WORK' J(........-.- tf.j.:). ELEC. SERVo NEW CHANGE DESC. TYPE VOLTS FIX'S SW'S REcEPT'S AEPLIANCES - stGNS INSP. . ROUGBIN , , I '"' .. . EST. ~ST ':TOO · REMARKS SERVICE PERMIT FEE S TEME. AMRS CIRC'S .= ,~ FINAL '1/::/:; . DATE PD.~ ;" = ~ ~