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HomeMy WebLinkAboutElectric (temporary) 411.) CITY OF OSHKOSH No 101 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /6 G� PLAN NO. OWNER i eL .0 DESIGNER USE /NATURE OF WORK 71ZI"—)C:G74"`--4-'_.'_� , / * r 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 �g,,� Electric Serv. New Change ❑ Temp ❑ Type Volts Amps Fixture Switches l.../-- Receptacles E/ Circuits 9k-9-- PLUMBING CONTRACTOR BT _ WH Disp WSoft CBasin Lay — Sh DW DF San. Sewer WC FDr SP _ Ur Storm Sewer Sink LTub Eject SS Water Other / d FEES: Valuation $ e Oc/ Permit Fee Paid $ �* -�� Park Dedication $ ISSUED BY p Date - 2 6 —.Fr Final /O.P. / -2>- - XF In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r/-.4S- �' AGENT /OWNER E • ADDRESS TELEPHONE # i PERMIT NO. f y D ( ( 3 , APPL. DATE 7- - -7 g ELEC. CONTR. (elf r 7 �i OWNER )71.?„,- ✓� / ADDRESS /6P ATUR OF WORK ELEC. SERV. NEW CHANGE TEMP. t DESC, TYPE 3 - w — 0 VOLTS 1 itf U AMPS 6 © � FIX'S SW'S RECEPV o< CIRC'SAC APPLIANCES // V�� ` SIGNS ( Lit 140 ROUGHIN SERVICEDK 727 - 7VPINAL7 ' — EST. COST 5 " % PERMIT FEE `t °--- DATE PD.g-2. REMARKS