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HomeMy WebLinkAbout0040564-Electric (a/c)/`'~ CITY OF OSHKOSH PERMIT -APPLICATION AND RECORD (P/Z N° 40564 TYPE: BLDG ^ HTG ^ ELEC fXl PLBG T~ ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT --------------------------------------- ADDRESS ~ ~3t0 PLAN NO. OWNER DESIGN USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~iZ~-~~Q.~ Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles Volts Amps - Circuits PLUMBING CONTRACTOR - BT - WH - DisP - WSoft - Lav - Sh - DW - DF - WC - FDr _ SP - Ur .-Sink _. LTub -Eject - SS Other - CBasin -San. Sewer_ -Storm Sewer -Water FEES: Valuation $ ~ ~ ~ `~ Permit Fee Paid $ ~O •~ Park Dedication $ ISSUED BY c Date ~x~Z/~5 ~ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ADDRESS AGENT/OWNER DATE TELEPHONE ~ ~/v PERMIT NO. ~fJ-r(o ~ . APPL DATE ~l,Z~~f 1~ ~LEC CONTR /L~.~~ --~ OWNER ~~-~~.C.~' ~ ~1~~~.~/ ADDRESS X33(0 ~' ~ :EC S RV NEW CHANGE _ ? ~~' . ESC. TYPE VOLTS AMPS FZX'S SW'S RECEPT'S. CIRC'S REMARKS