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HomeMy WebLinkAbout0028741-Electric (misc) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28741 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ K~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ , 4-2 &, L1J. 0-/i j{J <L - L rrr; G[J~ fLw-. ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK pW - ~<,taP.P r~+) "Xhhfrljjr;<}A , . J (" Cur f!lA:/AC'\) 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 <S' ~GkCV( ;;J ? c1YJ' L Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ 'Fixtures ~ Switches ,K Receptacles ,\--- Circuit~ ~ ----" PLUMBING CONTRACTOR _BT _WH _Sh _Disp _OW _SP _ WSoft _ CBasin _Lav _OF _ San. Sewer _WC _FOr _LTub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water ISSUED BY Permit Fee Paid $ :SO. UD 7 -21 - 9'.'-J Date ' ~ Park Dedication $ S--7~9":; ---- Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. >>rc--'i ( !;",icf. <; ~ 1-7.>- AGENT/OWNER DATE SIGNATURE ADDRESS TELEPHONE # PERMIT NO. :z 07 L;/ i-/ --(-Y'2.. ELEC. CONTR. OWNER ~~_\ ~~, ~;Z6 - u- - ?;z/~ ~~ ADDRESS NATURE OF WORK ELEC. SERVo NEW DESC. TYPE FIX'S fX' SW'S APPLIANCES- CHANGE VOLTS ~ RECEPT'S TEMP . AMPS r><.- CIRC' S ~ SI"GNS INSP. ROUGHIN SERVICE EST. COST I () 0 t? ~ PERMIT FEE REMARKS ~. FINAL5-'1-12..... 5" ~ ~ATE PD.!r -.J-/~1~