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HomeMy WebLinkAbout0038592-Electric (city rehab) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 (:, ( 7.-- 38592 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~X' ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 1/ 2-0 ~ PLAN NO. OWNER -~~~ ~ DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. '" HEATING CONTRACTOR )it Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ Electric Servo New 0 Change 0 Temp 0 ~ /&.~~ Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR I _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP ~Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ 7 tJ 0 .0 0 Permit Fee Paid $ 3 S-. to 0 ISSUED BY ~d.l~~ Date 3/2-3/93 Park Dedication $ Final/O.P. In the performance of this work I agree !'to perform all work pursuant to rules governing the described construction. US,j,/ 3-ZH-9c.j A ENT/OWNEA DATE SIGNATURE ADDRESS TELEPHONE # ~r"'L- PERMIT NO. 3 f 5'? z,..-- . APPL. DATE ELEC. CONTR. t~h./ OWNER '..YA~ /I~ J\DDRESS I {'ZA1 ~ !ATURE OF WORK.. . '_ u - ~ x!.J. ' J;iLEC, SERV, NEW CHANGE 'nESC. TYPE VOLTS ~IX'S SW'S RECEPT'S APPLIANCES J!z-3j3 TEMP. AMPS CIRC'S SI"GNS INSP. ROUGHIN EST. COST rOC/) ,.00 REMARKS SERVICE PERMIT FEE -co