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HomeMy WebLinkAbout0023792-ElectricCITY OF OSHKOSH N°_ 23792 n PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC [~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS 1 ~ ~ ~ _ $.J ~C.. C~OSO NI PLAN NO. OWNER ~A22 ~ I~EC ICE I ~ DESIGNER USE/NATURE OF WORK- W zlZE ~cn~L~ y BUILDING CONTRACTOR Size Foundation HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss # Stories BTU'S ELECTRIC CONTRACTOR 2 W ~t~.~ F~-~C . Electric Serv. New [~ Change ^ Temp ^ Type ~•G~ Volts ~a Amps '~ "~d~ Fixtures ~ Switches ~ Receptacles ~ Circuits k ~' PLUMBING CONTRACTOR -BT WH Lav _ Sh WC FDr -Sink LTub Other Disp DW - SP -Eject Class of Const WSoft DF Ur SS CBasin -San. Sewer_ -Storm Sewer -Water FEES: Valuation $ ~©'`~^ Permit Fee Paid $ ~''~~ Park Dedication $ ISSUED BY Date cy " l~ `/ ' a ~ Final/O P . . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE p /OWNER qTE Sq. Ft. # Rooms Height . Occupancy Permit ADDRESS TELEPHONE #