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HomeMy WebLinkAbout0012244-Electric (pipe sleeves) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12244 TYPE: BLDG D HTG D ELEC ~D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER () 3 /4 fiCA ,... r- ( flu e.^r-{~O~ /?;~r- ( 4 U s;J PLAN NO. ADDRESS s c1 VI... DESIGNER USE/NATURE OF WORK }hs'1cvf( /J {~e S (eu~5 I ,. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class qf Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Hea,t Loss BTU'S ELECTRIC CONTRACTOR ~/av- E /--e err- . Fixtures Switches Receptacles Circuits ~. Electric Servo New D Change D Temp D Type ~ Volts ~ Amps ~ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _OF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _$S _ Water Other Permit Fee Paid $ / d; ~ // Date~J 1-557 Park Dedication $ Final/O.P. / - f / -2'9 - , ISSUED BY In the performance of this work t agree to perform all work pursuant to rules governing the described construction. ~GNATUR~-<Sl7 ~ AGENT/OWNER ADDRESS /13t1~7 TELEPHONE # pERMIT NO. ! ~~l/t~~AP~'__:~~..2-/Y-~ :: CONTR. ~~ ~ J>.Dt>RESS . 2. -. ~ ' . : ~TUREOFWORK l.~,~~<4" .. ELEC. SERV. NEt! CIlANGE TElMl1. ..~ D~SC. TYp- VOLTS J\Io!!1S - ::~:~S ~ W- D<- ~ct:vr' S .. . CIRe's ~ ~ IRSI'. ROUGlL.l SERVICE FINAL I -3~l1 lST. COST '- 0 ~ pERII!IT FEE.tO ~DATE I'D.r- 31- 1 ~MARKS ~ C =