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HomeMy WebLinkAbout0042208-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /r;<fv N~ 42208 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~K ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 3" ~ t'~' ,t('~ 9:-K ~~ , ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. '> HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S .. ELECTRIC CONTRACTOR h./L Electric Servo New 0 Change 0 Fixtures ~itches Temp 0 Typetf/6, VoltsYW . ~ceptacles ---- Circuits Amps 2rl ---/ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer ~Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ YOOO" {)O ISSUED BY~{<t".//A~ Permit Fee Paid $ Date I~O .00 lo/,illl Park Dedication $ Final/O.P. /0';' 91 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _~ 4~d SIGNATURE ~ ~ /rZ.~?-;1 AGENT/OWNER ADDRESS TELEPHONE # PERMIT NO 0 tf 2- Zo r ELECo CONTRo ~~ ~,OWNER . /;~ :f~ ADDRESS 3" 2- ),. K~ JlATURE OF WORK , APPL. DATE I r/2-I.o /:; V ~ Y"L ELEC. SERV. NEW DESC. TYPE FIX'S SWIS APPLIANCES CHANGE VOLTS RECEPT'S ;.""J; SIGNS INSP. ROUGH N EST. COST ~KS SERVICE FINAL /6 PERMIT FEE /';;:0. <k> DATE PD 0 0 ,..t,