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0011172-Electric (outlets)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 11172 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / () 0 7 OWNER ,4dlJ !If DESIGNER USE/NATURE OF WORK {J iii I-~~ !-Idrn~ V ~ b/ tl{ er (1 PLAN NO. AJrJ) BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR J . Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /f j/- F~t!'/r)c (p II/Ice Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles If-- Circuits :3 ~/ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ Date ;;Z tJ Park Dedication $ /1~fJ -7T Final/O.P. 11-% -l?7 :Gfu:A:~::~k;;~fuede=lbOOOO~0 I~ ADDRESS TELEPHONE # PERMIT NO.1 I!JL~AP;Y. DATE/~-/c?-FJ7 ELEC. CONTR.-~ ~ . -- . ~::~ OWNER ~DDRESS NATURE OF WORK t.-' ELEC. SERV. NEW DESC. TYPE FIX~ S SW'S APPLIANCES ~ SIGNS - INSP. ROUGHIN d~/ ES T. SOS T t-f-::2..L2 /::= REMARKS CHANGE TEMP. ~ VOLTS . AMPS RE~CEPT IS IJt. CIR~ ..' ~. :::. O~ SERVICE FINAL t/;:t-J,( PERMIT FE~ :2 tJ ::~E PD:!f-t.-t1