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HomeMy WebLinkAbout0030063-Electric (addition)CITY OF OSHKOSH N° 30063 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ® PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------- ---------- ADDRESS (~S S- ~14 T (' n~Q PLAN NO. OWNER ~ t N A-~~~ S DESIGNER USE/NATURE OF WORK C.~~ ~~ ~D,l71 TTfii .~ 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 L' w 1 ~ (~' ;~ Electric Serv. New ^ Change ^ Temp ^ Type ,( Volts Amps Fixtures ~_ Switches ~ Receptacles ' \ Circuits ~_ PLUMBING CONTRACTOR - BT - WH - Disp - Lav - Sh _ DW - WC - FDr - SP - Sink - LTub -Eject Other FEES: Valuation ISSUED BYE, - WSoft - DF - Ur - SS Q ©~ Permit Fee Paid $ ~~j~ / Park Dedication Date 4 - ~ ( <~~ Final/O.P. In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. t SIGNATURE b l~ T/OWNER TE ADDRESS - CBasin -San. Sewer_ -Storm Sewer -Water TELEPHONE #