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HomeMy WebLinkAbout0044449-Electric (a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD lP/Z-. ~ N!! 44449 ~~E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ y( ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ~f? ~~_ ~ . ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK r:;:ih'~~ 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 ELECTRIC CONTRACTOR ~ Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _Lav _OW _SP _ Eject _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _ Water _BT _WH _Sh _FOr _ L Tub _Disp _WC _Ur _Sink Other _SS FEES' Valuation $ I & t) , (7 f) Permit Fee Paid $ ISSU~D BY ~,....,- ~~L./~ Date / ;j; Dc j ~.:(7 ,)r 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 # cPr"'/..- PERMIT".. NO. If <f Y- Cf 7 ELEC.-CONTR. .J/k-AA- >Ii Ch I' P OWNER I~ .rV'~ ~DRESS ~Z-r ~ ~TURE OF WORK - ~ {0 ELEC. SERVo NEW CHANGE DESC. TYPE VOLTS FIX'S SW'S RECEPT'S APPLIANCES . APPL. DATE ~/;II~sr I I ~I"GNS INSP. ROUGHIN EST. COST lot!). 0 0 REMARKS ~ SERVICE PERMIT FEE (0 .c.J.:;J TEMP . AMES CIRC'S ~ FINl\L ,~ DATE PD.'(fl2I~1)/ ~ ~~ = ~