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HomeMy WebLinkAbout0002201-Electric/~ CITY OF OSHKOSH No 02201 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ~/ ~_ ADDRESS ~(~ ~~ \/ ~~- `> ~ ~' PLAN NO. '- ~ -- OWNER I f~ C.(~ ~ DESIGNER USE/NATURE OF WORK ~(J ~ ~ ~ ~ ~~ r ~c l BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const. Height . Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR la `- ~ E~C7 1 Electric Serv. New hange ^ Temp ^ Type 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 $ ISSUED BY ~ c ~ ©~ 'Permit Fee Paid $ ~/~,~©~p/~ Date 1 .~ ~~ - D SP Park Dedication $ Final/O.P. ~'~~~7 In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIG AGENT/OWNER AT ADDRESS ~~ TELEPHONE #