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HomeMy WebLinkAbout0019814-Electric (temporary service) ~ TYPE: BLDG D CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD HTG D 'ELEC ~G D SIGN D ZONING N2 19814 FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - OWNER 19/IJ 1~.- --- J!.~r~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK -( '(' n, j:J ,) e ('t.JJ c ~--- 3tv /OCl. 101-1- 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 ELECTRIC CONTRACTOR ~ E~ Eleclric Servo New D ~hange D Temp ~Type ~ Fixtures Switches ~GePtacles Volts ~tI Amps ~ Circuits ~ 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 Permit Fee Paid $ Date .-r' / c1.~ V~ T-Lf-}1'C) Park Dedication $ Final/O.P. 7-:2 ~-9t::'J ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURd- / ~ ~/~/JcJ AGENT/OWNER DATE ADDRESS TELEPHONE # ADDRESS ~Ttjn~~ WORK ELEC. SERV. NEW DESC. TYEE- (.<./- (!). F~X'S SW'S AEPLI~CES ~RMIT NO. ELEC. CONTR. OwNER ~.~ CIRC'S -:1. L.J~qO - 'g- -.1{ 0 S I"GN S INSP. ROUGHIN EST. COST JtP~ REMARKS = -=-~ --------~