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0037116-Electric
.~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 fp,/3 37116 ~~P_E~ _ _ ~L~~ _~ _ ~T?_ ~ _ ~~E~K~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N?_ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 300 C f D /t. ~~ ./~./ ~- ~~' OWNER~' ~ilid - - ,JI.' PLAN NO. DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy, Permit Foundation Class of Const. ih HEATING CONTRACTOR Heat 0 AlC 0 Vent 0' Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR' Electric Servo Newl){' Change 0 Fixtures /' Switches tin, J 271 ' Temp 0 Type~ Volts vrO Amps ?,-()O ~ Receptacles ~ Circuits ~ " 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 Park Dedication $ ISSUED BY Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE d ~, /.;l--;?uo- '73 ADDRESS TELEPHONE # . PERMIT NO. 3711t? ELEC. CONTR. ~ OWNER . APPL. DATE I , If" 11/?/9:J ELEC. SERVo DESC. TYPE . rIX' S SW I S APPLIANCES TEMP . AMPS CIRC'S SI"GNS INSP. ROUGH Nit EST. COST REMARKS 11jJ.1p ~-J.t<~ bd4 - 3pfwu Z77(illO !-'t!1/'fj 1~ ~ b (/ UJD tz-/"L l;.) " ~f'~ I/tp ~ ~ ~ ~ r:;;;t-~~ ~ ~ ~-t,<< r /l~ ,~.Ju.~~.