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HomeMy WebLinkAbout0008266-Electric (a/c)_CITY'OF OSHKOSH No 08266 PERMIT APPLICATION ~ AND ~ RECORD TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ------------------------------------------------------- ADDRESS ~LJ S PLAN NO. OWNER ~S ~ (I,SS Fit,.. DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Class of Const. Height . ` Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~C-K~ Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches ~ Receptacles ~~ PLUMBING CONTRACTOR BT -WH - Lav - Sh - WC - FDr -Sink LTub Other Disp DW SP -Eject Volts Amps .- Circuit WSoft - DF Ur SS - CBasin -San. Sewer_ -Storm Sewer -Water FEES: Value ISSUED BY ' Q~ Permit Fee Paid $ ~ ~ d Park Dedication $ '~ Date S `~~~`- ~~ Final/O. P. 5 _ ~~ ~S~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~I/~- ~~G ~ , AGENT/OWNER DATE ADDRESS TELEPHONE #