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HomeMy WebLinkAbout0041870-Electric (2nd floor office) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 653 N!!-41870 ADDRESS ~~E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E? K ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ~I/t) ~~ I 1UjP PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. ,i' HEATING CONTRACTOR ~. Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR t<J~ --- .:J-~ g.A+'L W~ U4~~ 'I r Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits 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 FEES: Valuation $ 3 0 0 (), tJ D Permit Fee Paid $ ISSUED BY ~t.?--~A'{<~"'~ Date /" P r.oC) ,/' JOhh Y, r .r Park Dedication $ Final/O.P. 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 # (p~.:J l ~ J\I>PL. DATE 9jz?h'f PERM:tT NO. '(-/ f? () ELEC. CONTR. ttJ(~ . 7 iLfY' QIN.J:R ~~ _. '~';).//D-<i.-/~ bP~.. - . /~ ~ OF woRK Z-~ r~ I~g: ~~. Nn ~; n~' s SW' S tU;cEPT' S APPL:tM!CES ~ S:t'GNS . :tNSP. ROUGB1 EST. COST ?fltJ a " {) i.) REMABt<S SERVICE PER!1.1.T FEE %5".90 = TEME. - ~S =: c:tRC I S -= := DA~~' I~~~ ~