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HomeMy WebLinkAbout0017986-Electric (violation corrections) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 17986 TYPE: BLDG 0 HTG 0 ELE~PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ............ --.......... --...... --........ --.... --.... --.................... --.... --.... --.. --...... --.. --...... DESIGNER PLAN NO. ADDRESS OWNER f/! t7~",Pn A CP-rrr:Jo * ~ h_1 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 ELECTRIC CONTRACTOR /~r s'" ~P.ft/ C ~ ~'. Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures ~ Switches Receptacles ~ Circuits ~< PLUMBING CONTRACTOR _Sink _FOr _ LTub _Disp _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other ).~ e? C-- FEES: Valuation $ . ) C;'::------ ISSUED BY~~~ , J ~ Permit Fee Paid $ ;:z... t? Date J/ -/7- 9" 2J Park Dedication $ Final/O.P. In the performance of this work I agree to orm all work pursuan: ~o rules governing the described construction. ;/) V7-//j?c SIGNATURE DATE ADDRESS TELEPHONE # PERMIT NO. .! / 7' r-~ . APPL. DATE 1--/ 7 -7Zr ELEC. CONTR. ~ij ~~- OWNER riD ~ If)~~ ADDRESS .. . . ~ -; - /-/6f;; NATURE OF WORK. J/~ '\. .. &~ ;~ ELEC. SERV. . NEW CHANGE ' TEMP . DESC. TYPE VOLTS AMPS. FIX' S .. bC: SW I S <><-- RECEPT I S ~-- CIRC' S ,J~ APPLIANCES SI"GNS INSP. ROUGHIN b<< EST. COST j')&~ REMARKS SERVICE. FINAL PERMIT FEE ~~ATE PD.I.J-~O I