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HomeMy WebLinkAbout0014370-Electric (gas pump) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 14370 TYPE: BLDG D HTG D ELEC IE; PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ... ... ... ... ... ... ... .. ... ... .. .. .. ... ... "'.- ... .. ... ... .. ... ... ... ... ... ... ... ... ... ... .. .. ... - ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... .. ... .. ... .. ... .. ... ... .. ... ... ... ... ... ... OWNER / .55 ?.~ 1/ ~--- ~~~/ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~H' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S New D -pU~ ~ Change D Temp D Type_ <- , ~ ELECTRIC CONTRACTOR ,., Electric Servo Volts _ Amps_ Fixtures Switches Receptacles Circuits K v- 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 FEES: Valuation Permit Fee Paid $ Date At) ~. /-(J-~/ Park Dedication $ Final/O.P. 7..- /::z -%7 , , ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE k~,# /;,~2b- I" )lATE ADDRESS TELEPHONE # ELEC. CONTR. -,2{)-~ PERMIT NO. OWNER / ~//~~.~, / -'- ~" .5 )2 -- .. -A~ l ADDRESS NATURE OF WORK -~ ..E:LEC. SERV. NEW DESC. TYPE F".iX~S SW'S IX~ APPLIANCES ;3IGNS :;~(?tP ~ INSP. ROUGH IN. SER~ VC> FiNm~%'l EST. COST 3/():::'-- PERMIT FEE ;;ZO~ATE PD:J~/~-1J9 REMARK~ CHANGE VOLTS RE:CEPT'S TEMP. AMPS CIRC'S CS