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HomeMy WebLinkAbout0020714-Electric ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 20714 TYPE: BLDG 0 HTG 0 ELEC ~BG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - - - - - - - - - - - - - -- - - - - - -- - - - - - -- ADDRESS /9 /() /J~--L)LlJ ~ /;~p-^-> PLAN NO. OWNER DESIGNER , USE/NATURE OF WORK '11...u..-u ~ "5 t-v ,v:..... l.;J.v/.J </0 . <(oc., ~ 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~ Fixtures t.--' Switches f' Receptacles <'.- Circuits- 1iJ \ Electric Servo Newa--change 0 Temp 0 Type ? w Volts/,;;J.'l~1o Amps ~ 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 / (J?C I c..- ~V' t1& .::.--- Permit Fe~ Paid $ ,/ c:J /0-- 9'~7L/ Date / " Park Dedication $ Final/O.P. lI-J/P -10 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR-/~ ~ /0 - Y-9u ~ AGENT/OWNER DATE ADDRESS TELEPHONE # ELEC. CONTR. OWN::.c'.R ~D~ESS NATURE OF WORK ELEC. SERV. DESC, TYPE F!X'S ~PLI~CES SI'GNS INSP. ROUGH!N ifT. COST REMABKS =- .. Cf tJ () tJJ r;..- :==-