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HomeMy WebLinkAbout0029519-Electric (exterior service)CITY OF OSHKOSH N° 29519 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ------------------------------------------------------ ADDRESS // ~ ~ ~J~~~/ ~i _ PLAN NO. OWNER ~~~ L ~,! f7 T/~r.T~/~ DESIGNER USE/NATURE OF WORK ~lLre/L ~~ L-~ BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR c~' ~ C . /,/G. Electric Serv. New ^ Change~Temp ^ Type d!°~ Volts ~~~~ Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -BT - WH Lav - Sh - WC - FDr -Sink ._ LTub Other - Disp - DW SP - Eject - WSoft - DF Ur - SS - CBasin -San. Sewer_ -Storm Sewer -Water FEES: Valuation $ ~ ©~ Permit Fee Paid $ ~ Q a //'~ q Park Dedication $ ISSUED BY Date L® `~ ~ r/ ~ Final/O.P. ~ ~o -~~~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. .ll it ~' SIGNATURE ADDRESS AGENT/OWNER "` ~O TE TELEPHONE # I H A a i '~ •1 lA, a a H z o~ o ~ U a W U a Aa a w z