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HomeMy WebLinkAbout1989-Electric CITY OF OSHKOSH No 12397 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT z ADDRESS 47r PLAN NO. OWNER A 9(/1.--c__ . DESIGNER USE /NATURE OF WORK 6%9: ' 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 Electric Serv. New range ❑ emp ❑ Type Volts Amps Z -+=-c/ Fixtures witches L------ Receptacles L-- Circuits L.--- Ac)---'■ 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 / d o V FEES: Valuation $ ! £ " e rmit Fee Paid $ SO `` Park Dedication $ ISSUED BY /1 Date a —fie "-'27 7 Final /O.P. 440' 9 In the performance of this k I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / - % � g i car / 2 �a / AGE /OWNER DA TE ADDRESS TELEPHONE # PERMIT NO. / ∎ ∎, 9 7 , APPL. DATE 4 e . Y 7 ELEC. CONTR. (�Z�C'—�y�/it 1 �? OWNER ( /`y/ of)--",_e----, ADDRESS /‘ 7 5 )}j c NATURE OF WORK /// A ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE 3 -- 1 -1. --- v VOLTS /� - %Y'lor AMPS --©e FIX'S ( SW'S x RECEPT' 0lL CIRC'S APPLIANCES V SIGNS 7 l iff0) INSP . ROUGHINM- I - $ SERVICE/9R -1 - / - $ FIN �, _ ` ALs ?/ • �'Y EST. COST f 5'60 = PERMIT FEE j DATE PD] - ?0 S 9 REMARKS