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Home My WebLink About0033051-Electric (a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD BLDG 0 HTG 0 ELEC~. 0 SIGN 0 ZONING Nh~ TYPE: FLOOD PLAIN HEIGHT .. ... ... ... ... ... .. .. .. ... ... .. .. ... ... .. .. .. ... ... ... .. ... ... ... ... .. .. .. ... .. .. ... ... .. .. .. .. .. .. ... .. I.. .. ... ... .. ... .. ... ._ .. ... ._ ... .. ._ .. ... .. .. ... .. ... .. .. .. .. ADDRESS /1:1 if /lq/"l/t1 -e y OWNER f2 Q S m t:! sS~ 1-1 e4 r, ;;5 PLAN NO. DESIGNER USE/NATURE OF WORK a/II CA'J i1.J r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR I )-/0 e)l f) <<- ~) Ie.. <:......- .. Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches ~ecePtacles 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 Permit Fee Paid $ Date / P <:_1/' /0 -- 3 '- / 6 - ?7I Final/O.P. Park Dedication $ J -/t -7:J ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNArd /~ 7~/t~9-..5.. AGENT/OWNER DATE ADDRESS TELEPHONE # E~C. SERVo o SC. TYPE FIX'S APPLIANCES PERMIT NO. :;, ;. cJ s /. ,APPL. DATE j'_ 5 -7",3 :: CONTR. ~~. ~~~SOF WORK //.2 d-&~~ NEW CHANGE VOLTS RECEPT'S SW'S TEMP. AMPS CIRC'S SI'GNS INSP. ROUGHIN EST. COST 5' e;#=-:"--- REMARKS ~ SERVICE PERMIT FEE LfJ-