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HomeMy WebLinkAbout0004331-Electric (breakers) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 04331 ~~~E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~LE?)Q PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N::SS fJ~~~~if~- - -- - - -" - - - - -~~~ ~~- - - - - -" - - -- DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HE~TING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ", Fixtures Receptacles mps6::::2 071 qpf) , ! ELECTRIC CONTRACTOR Y Electric Servo New 0 Change ~ Temp 0 Switches PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other Park Dedication $ Final/O.P. .B '-25'-F7 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE _~X,/ ~~~ AGENT/OWNER ~~? ~. D E ADDRESS TELEPHONE # ~DDRESS ~ATU~EOr,WORI< ELEC. SE~V. NEW DES C. TYPE --- FIX'S APPLIANCES 'fJ JU . APPh DI',E ~ '-2 LJ -'l.L k~ . - ..V~~~ 9/iJ;lY~ - .- ~-~;t;~ .- . I C!WII;" - .. - TEMP. . - VV -0 VOLTS I' >tT' 0 AMPS 6 /J RECEP · CIRe'S PERMIT NO .6 ];.1!EC. CONTR. OWNER SIGNS INSP. ROUGHIN EXT. COST t/cJ ,p&MARl<S = : SERVICE FIN~L ' -;Zf-~1 PERMIT FEE/';<~ DATEI'D. --2)-~7 ,',', I ~L.- . ~ , ,','> ",I",' , ,," ,', .,. i..", , ",.,1