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HomeMy WebLinkAbout0019914-Electric (a/c) CITY OF OSHKOSH N° 19914 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �� 3 C0 CSIC d)O© EYL' c d 2 —. PLAN NO. ! ` OWNER pr,_ 4r, utI L.__ DESIGNER �+ USE /NATURE OF WORK /� 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 (� c F Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits \\----/ 9K) 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 $ Oa CD Permit Fee /0 -!�v t/ ee Paid $ Park Dedication $ } ISSUED BY �-1 Date � ",.. � Final /O.P. D /J L G en In the performance of thi work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ( e , t--Q. , r Q AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. .APPL. DATE E C. CONTR. .i r OWNER /L�.� 6 3 0/1-4-44,711 • ADDRESS ei' r 6 6e , 5 / „-ry-e,-, .0 • N •.TUBE OF WORK !' ' ANGE TEMP . ERV . NEW VOLTS AMPS F ' TYPE FIX'S S W' S /�"--- RECEPT'S CI AP - _ _ ANCES SIGN SERVICE FINAL 5'' �►`d ES . COSS T A • 0 N , O PERMIT FEE DATE PD -, -/ -'Q E REMARKS