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HomeMy WebLinkAbout0027679-ElectricPE _CITY OF OSHKOSH N° 27679 RMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ------------------------------------------------- ADDRESS /~ '~~ ~ ~°~ PLAN NO. OWNER ~I~C~-~i --~~{L,IQ~ ,c_1 ~ DESIGNER USE/NATURE OF WORK BU}LDING 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 /~~.~~ - - Electric Serv. New ^ Change ^ Temp ^ ' Type Volts Amps Fixtures twitches _ L~'~ Rece tacles P Circuits 1-... PLUMBING CONTRACTOR -BT -WH - Lav - Sh - WC - FDr -Sink - LTub - Disp - DW SP -Eject WSoft - DF - Ur - SS ~--- - CBasin -San. Sewer_ -Storm Sewer - Water Other FEES: Valuation Permit Fee Paid $ _ ~~ 0 ~~~~ Park Dedication $ ISSUED BY ~ . ~~' '~•-~/~ Date Final/O.P. "~ ~ .~-~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER ADDRESS ?- / ~-~-~ DATE TELEPHONE # AppT.T nNCES F.T.EC SERV NEW CHANGE TEMP . REMARKS