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HomeMy WebLinkAbout0047523-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p V 1-- Ng-47523 ~P_E~ _ _ ~LO~ _C:: _ ~T~ _ ~ _ ~~E~ ~_ ~~~ _ ~ _ ~'~~ _C:: _ ~O_N~N_G _ _ _ _ _ _ _~~~O_ ~~'~ _ _ _ _ _ _ ~~'~~_ _ _ . _ _ ADDRESS 37 dl~' P HMA.. .. PLAN NO. OWNER .It)/". ./ ~ (~~.>>-(!~(~. DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const Height Occupancy Permit HEATING CONTRACTOR . Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo New Fixtures Temp 0 Typ VOlts~' Amps Ira Circuits I::LECTRIC CONTRACTOR Switches Receptacles PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other "'~" FEES: Valuation $ SOO O. 00 ISSUED BY 9/1.-- Permit Fee Paid $ Date ~y .., <:> ,// Park OZ /0/ <f fr j .-- Final/O.l:</j t.~.tJ .15" In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. ,'+ 7 S:2.- "J ELEC. CONTR. ~ , .4cuU ADDRESS .:3 7;-. ~. NATURE OF . WORK 8'/8-/7 ~ . APPL. DATE OWNER ~ tl.A/U ~~ ~ , . ~iEC. SERV. se. TYPE FIX'S AP ANCES SW'S CHANGE VOLTS J-za/uJ1- ~IAJ RECEPT' S ' =:/~~~ CIRe's NEW .() SERVICE FINAL PERMIT FEE DATE PD. (> ~A- ~ -b;;- J.A..~ ,