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HomeMy WebLinkAbout0028815-Electric (a/c) TYPE: BLDG D CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD HTG D ELEC ~G D SIGN D ZONING N2 28815 ~ FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Lfl.(Cf ,/~ OWNER )r'~ PLAN NO. DESIGNER , USE/NATURE OF WORK C~~..fL. ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const., Height Occupancy Permit Foundation HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ,;~J4A-^ Fixtures New D Change D Temp D Type _ Volts _ Amps_ Switches ~ Receptacles ,,$<----.. Circuits ~ ~ Electric Servo '" ptUMBING CONTRACTOR _Sink _FDr _ L Tub _Disp _DW _SP _ WSoft _ CBasin _BT _WH _Sh _DF _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other ISSUED BY ()7 <...... t1 (JJ ----- Permit Fee Paid $ Date /'" ~S~ 1/ !J '-~b -,92- Park Dedication $ Final/O.P. ) ~;:2- h ~.-9.2- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU~ /kk AGENT/OWNER 5/x/~ DATE ADDRESS TELEPHONE # ELEC. SERV. DESC,.. TYPE FIX '''5 APPLIANCES NEW r 15/5 .APPL. DATE /-;/-27-72- 4!~~L . d~@L d",-~L Iff/57; ~~d~, c:::l- C- .-R~~ CHANGE VOLTS RECEPT'S' [.>z ~. TEMP . AMPS CIRC'S 6< ') PERMIT NO. '2 ELEC. CONTR. OWNER ADDRESS NATURE OF WORK SW'S S I'GNS INSP. ROUGHIN EST. COST '-[~ REMARKS SERVICE FINAL _U-1':2- )tf'! cC;::- PERMIT FEE :?'7"g,.:::... DATE PD.~..;z.?,-7'2- I