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HomeMy WebLinkAbout0009846-Electric (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 09846 ~~P:~ _ _ B_L~~ ~ _ ~T~ _ C? _ ~~E? ?r~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ - - - - /~31 ~ri:Stf'-~ , D~'~, t'-r i 2~~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORKJ/ c-- 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 S ~(Ktvr Fixtures New 0 Change 0 Temp 0 Type - Volts - Amps - N'). ' . Switches K Receptacles Circuits ~ / IC>L Electric Servo PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEES: Valuation $ /OO.au Permit Fee Paid $ ISSUED BY ~ ~rz Date . f v I L/-.OO ,,/ Park Dedication $ Y' -I '5' -- g- zr Final/O.P. r-/5 - 0'7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~"d-","i f ScLc AGENT/OWNER g-/r- (fe( DATE ADDRESS TELEPHONE #