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HomeMy WebLinkAbout0008797-Electric (addition) CITY OF OSHKOSH No 08797 PE RMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC , PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / w d t Da uC_... PLAN NO. OWNER Imo- ,,e- • DESIGNER J , f ' USE /NATURE OF WORK i(4? ,t .-. 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 ( -Si Che iC b.Cfn`C_ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles .X Circuits ..' 9)-- 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 $ n o. 00 Permit Fee Paid $ (� • �n Park Dedication $ ISSUED B Date d /5 g E Final /O.P. K! "l...5 ir6 I I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l}iL- f S z - AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. er7` _ APPL. DATE . - 7S` ELEC. CONTR. 7/ / OWNER ' 7t%i -2 ADDRESS / ,?- d -(9 A NATURE OF WORK die&&- f ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX'S i 2SW'S J__ RECEPT'S CIRC'S k APPLIANCES SIGNS \, INSP . ROUGHINISYL s,*3 -11( SERVICE FINAL G -0 EST. COST p 2 © -�" PERMIT FEE/02 v / DATE PD .6 / REMARKS