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Home My WebLink About0023772-Electric (a/c) ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ V ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ///3 ~. 004__-; ~ ADDRESS OWNER DESIGNER CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23772 PLAN NO. USE/NATURE OF WORK .rr/ C__ I Size BUILDING CONTRACTOR 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 .::~ "?.~ Electric Servo Fixtures New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Switches Y Receptacles Circuits~ 1fr _BT PLUMBING CONTRACTOR _ CBasin _Lav _WC _Sink ,Other _WH _Sh _Disp _OW _SP _ WSoft _OF _ San. Sewer _ Storm Sewer _ Water _Ur _FOr _ L Tub _SS _ Eject '" FEES: Valuation $ ISSUED BY I / Permit Fee Paid $ /6 ~u"o J . Date' ~ -( 11- 9/ Park Dedication $ Final/O.P. 6 --/tf - ?) In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~C-<, l:C:::ScJ-J fa -10 - 7 / t. AGENT/OWNER DATE I SIGNATURE ADDRESS TELEPHONE # OWNER PERMIT NO. ;<.) 772~APPL. DATE ;--.;2-~,-.// ELEC. CONTR. ;~ ~ / .~~/, /l1_:j ~#~~ . .d-C CHANCE VOLTS ~ RECEPT'S NEW TEMP. AMPS eIRC'S ) ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SW'S SIGNS INSP. ROUGHIN. 0 b EST. COST (t!)O --- REMARKS SERVICE . FINAL t-),tP-?/ ' PERMIT FEE /<:90(.;7 DATE PD.t:-fO--71 .