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HomeMy WebLinkAboutElectric CITY OF OSHKOSH N o 11463 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS g �' ' i�' -- "r PLAN NO. OWNER �� Y 9(74....„... DESIGNER /,I USE /NATURE OF WORK i � `'e-�` 9 (74-4--- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /S Heat Loss BTU'S ELECTRIC CONTRACTOR !��""y Electric Serv. New Change ❑ Temp ❑ Type Volts Amps r-,...-.) Fixtures 1..--- Switches 4-.----- Receptacles Circuits ' A.g - 1 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 / C1 FEES: Valuation $ 6 © Permit Fee Paid $ Park Dedication $ ISSUED BY r/1- ..Cl Date /t - 3e — e s ? 7 Final /O.P. /1 - " 2 . - er In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 4 ` �a r� OWNER D ATE ADDRESS TELEPHONE # PERMIT NO. // 1-4 ,3 APPL. DATE ELEC. CONTR. OWNER ADDRESS /‘ �f - / NATURE OF WORK / / / /per C ELEC. SERV. NEW Pc CHANGE TEMP. DESC . TYPE 3 - - tJ VOLTS / AMPS 2v7 SIX'S SW'S RECEP S CIRC'S K APPLIANCES DEC SIGNS a47 G,om,0 INSP. ROUGHIN - - -S' SERVICE Ai - ` . 7 f FINAL() -2P EST. COST f .2-oO PERMIT FEE re DATE PDJ(/o R.EMARKS •