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HomeMy WebLinkAbout0015809-Electric (a/c)CITY OF OSHKOSH N° 15809 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~~ ~~f Cj n P PLAN NO. OWNER r USE/NATURE OF WORK _ t~ l Yt ~'(' h BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Foundation Class of Const. HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss ELECTRIC CONTRACTOR ,~ © t°_ }~ r1 ~ ~'~~ Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches / Receptacles . PLUMBING CONTRACTOR - BT - WH - Disp -Lav - Sh -DW - WC - FDr ._ SP - Sink - LTub -Eject Other Volts Amps - Circuits ~- BTU'S - WSoft - CBasin - DF -San. Sewer - Ur -Storm Sewer - SS -Water FEES: Valuation ISSUED BY~ ©"~ Permit Fee Paid $ ~~ Park Dedication $ Z~-~? Date ~~ '~~ =S~ Final/O. P. /~ d ` ~/ In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATU AGtN i/OWNER ADDRESS Height . Occupancy Permit D~E TELEPHONE # l/ ~ ~ . APPL . DATE ! _ ~ ~ c APPL~.P.Nc'F'G ~r~'~'. SERV NEW CHANGE 'ir:rtr. R~n1tKS