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HomeMy WebLinkAbout0019472-Electric_CITY OF OSHKOSH N~ 19472 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRE~ OWNER DESIGNER 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 r~ Electric Serv. New Change ^ Temp ^ Type Fixtures !~ Switches '~~Receptacles Volts Circuits ""'"-- ~'" PLUMBING CONTRACTOR BT -WH Lav _ Sh WC _ FDr -Sink _ LTub Other Disp WSoft DW DF SP Ur Eject SS CBasin -San. Sewer_ -Storm Sewer. -Water ~-Q-~ ~ ~- Q a FEES: Valuation $ f ~~© "~ Permit Fee Paid $ ~~ 6 ~~ Park Dedication $ ISSUED BY Date ~ l~ ~~ Final/O.P. ~~ a~' In the pertormance of this work I agre ertorm al work pursuant to rules governing the described construction. SIGNATURE / ~ ~d . ER DATE ADDRESS TELEPHONE # PERMI`~ NO . ` ~ ~ ~ APPL . DATE ~ ~ ~U y~ ADDRESS ~ ~ ~~ ~~~ ( ~~ C. TYPE ~ u/ - ~' ~ VOLTS ~ 2 " ~- ~ v AMPS z ~ ° F2X' S DC SW' S ~ RF.CF.PT' , o~ CTRC' G ~~ REMARKS /mo °`