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HomeMy WebLinkAbout0030629-Electric (receptacles) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 30629 TYPE: BLDG 0 HTG 0 ELEC ~BG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~ -- --1-~ - i -- - - - ;;; I-~ ~ ~ l~~; -~ -- -- j ~~ -. -- -- - - - - -- - - ~~~ -N~- - - - - - - - - -- . OWNER 'S-ej}-f' /-Jelv5< t..J pi ,1/1. USE/NATURE OF WORK :AftlJ b 4/1, t:" 0 Or->? kt /t , DESIGNER BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ r 13' !-e L t-r { . C- Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles ~ Circuits C- '"' PLUMBING CONTRACTOR _Sink Other _SS _ CBasin _ San. Sewer _ Storm Sewer _ Water _WC _WH _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _BT _Lav _Ur _ Eject Permit Fee Paid $ Date , /5'-~ V 7-/-7 -2 Park Dedication $ Final/O.P. .y -;7 -7-:'::::> ISSUED BY SIGNATURE DATE In the performance of this work I agree to perform all wo . pursuant to rules governing the described construction. ADDRESS TELEPHONE #