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HomeMy WebLinkAbout0034530-Electric (correct violations) ~ /2--- ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 34530 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /~ -JJM ~;::-nd: l PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 6JYru;;/- L);~S as L{J~A" J ~r J<!1? , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const~ ,~ HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR {5~. clOJ(" Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures <.K Switches X- Receptacles;X-- Circuits ~ 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 FEES: Valuation $ ZOO. o-v ISSUED BY ~ Permit Fee Paid $ Date Ie;; ,00 ' .~ -~ -9Y 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 j}?;. '-- ,c:: S:c;r:-~ fo-r.;-q s 'I AGENT/OWNER DATE ADDRESS TELEPHONE # OWNER . c- - ;:Z.;4- .~;7 PERMIT NO. '3'1., :3 0 ADDRESS !~TURE OF WORK ~LEC. SERVo NEW nESC. T~YE ' ~IxtS .)/--. SW' S ~PLIAN . S SI'GNS INSP. ROUGHIN EST. COST REMARKS /rz ~It ~ / t1 / ?- ~#~~t- / ('~f/~$~ CHANGE VOLTS (/'-...... RECEPT t S . --A...... TEMP . AMPS CIRC'S '\ ELEC. CONTR. SERVICE FINAL PERMIT FEE -:~ATE PO