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0009847-Electric (a/c)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 09847 TYPE: BLDG 0 HTG 0 ELEC ~ PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER ;230 J HM r is'^- L5ii-. " J(lhh<iS !l1 uJiw. - I' PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK .&/L { 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 SeL-t a.../" q- Fixtures New 0 Change D~ 0 Type_ Volls_ Amps_ Switches Receptacles Circuits . ~ ~. Electric Servo 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 ISSUED BY ^ Permit Fee Paid $ 4. 0-0 j Park Dedication $ Date g'"-/.>--Fr Final/O.P. (T-/5-2jX In the performance of this work I agree to perform all work pursuant to rules governing the described construction. J~ ~ Ssdct-f AGENT/OWNER g-/s:-d SIGNATURE DATE ADDRESS TELEPHONE #