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HomeMy WebLinkAbout0024750-Electric (temporary) (4-..) _ CITY OF OSHKOSH N°_ 24750 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [ LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS . d64) " 4-1 - ---- ��- -- • PLAN NO OWNER G 1 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 3 /� /� / ��� Electric Serv. New ❑ Change ❑ Temp �� Type �J 4 Volts `�'r —Amps 4 Fixtures Switches Receptacles Circuits 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 C. J FEES: Valuation � �— O Permit Fee Paid $ 7-42 �� �— Park Dedication $ '7 ISSUED BY Date 'erg/ Final /O.P. t i2/ -Z/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. •j SIGNATURE trI ___ / 4.1 AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO C/ APPL. DATE 2J / ELEC. CONTR. / �4�tA OWNER ADDRESS `off © d4.-°L NATURE OF WORK �...� . ,.r. GE TEMP. '- . ERV. N 2 AMPS co _ c. TYPE ��� L� VOLTS FIX'S SW'S RECEPT'S PS CIRC'S e' APPLIANCES V SIGNS l ) SERVICE . G .21 -'1/ FINAL/ 2?'V ESSTT COST .S© I. OSTCHIN `� PERMIT FEE l/>�• -- DATE PDg / REMARKS f