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0007602-Electric
~ CITY OF OSHKOSH N2 PERMIT -- APPLICATION AND RECORD 07602 TYPE: BLDG 0 HTG 0 ELEC 00 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT USE/NATURE OF WORK Jdt'L ~ol& G7-6rmotL ()~~/ PLAN NO. ADDRESS 0Q~ OWNER 9~ DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. HEATING CONTRACTOR "'Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S Fixtures -r tZcK ~/td(,/.(G, ~C-. New 0 Change 0 Temp 0 Type _ Volts_ Switches IX Receptacles /~ Circuits .~ ELECTRIC CONTRACTOR I Amps_ ~, Electric Servo PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ~-C- FEES, valua~._. 5 tJ ISSUED BY. -::91~ Permit Fee Paid $ Date I C ' 02-tJ~ vi' '-f -- "'7- y-r Park Dedication $ Final/O.P. Y - ? - P' 9 SIGNATURE ork pursuant to. rules governing the described construction. 1/{/iE ADDRESS TELEPHONE # OWNER ~ . () 2-, - PERMIT NO. t2 7 ~ . APPL. DATE J -5 - ff? ELECo CONTRo r C&A~. ....~ ~/Y~ u ~ ADDRESS ? ?J - '.' ~ NATURE OF WORK , '. /) ELEC 0 SERV 0 NEW CRANGE DESC. TYPE VOLTS FIX'S K ,''5 tV'.A' RECEPT'S APPLIANC};:S - x ~ .--- TEMP. AMPS CIRC'S X SIGNS INSP 0 ROUGHI~/Oj- (-"3' e rp EST. COST :J )-tJ ~ REMA~KS SERVICE . t FINAL~. g'--Ol PERMIT FEE GUJ!:!.- DATE PD.Y-lf-$8 . , :',,;;J.