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HomeMy WebLinkAbout0023764-Electric (a/c) CITY OF OSHKOSH N9 23764 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC /PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS ('0 i � l a. t‘ A PLAN NO. OWNER JO4S -, (Sb\-- DESIGNER USE /NATURE OF WORK A1C---- 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 ( S f Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts �Amps Fixtures Switches Receptacles Circuits_ f;2)' PLUMBING CONTRACTOR - BT WH Disp WSoft CBasin - Lav _ Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ (TO Permit Fee Paid �. V ee aid $ l Park Dedication / $ / ISSUED BY Date Gt "L©' 1 �P Final /O.P. --- e - ,/ In the performance of his work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / ' / —10-,/ AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO.1 3 -- APPL . DATE 7 - 7/ ELEC. CONTR. � , ,Z � eZ OWNER , 97 - /Xia 0- 1 ADDRESS 6,5 - .&' NATURE OF WORK e ELEC. SERV. NEW CHANGE TEMP. f DESC. TYPE VOLTS AMPS FIX'S SW'S Qom-- RECEPT'S CIRC'S A APPLIANCES SIGNS INSP . ROUG HIN SERVICE , FINAL -/C -g/ EST. COST tDd PERMIT FEE /0 PD /0 -9/ REMARKS