HomeMy WebLinkAbout0030841-Electric (code violations) CITY OF OSHKOSH N2 30841
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ;f PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 8 V.,,igz56?, 71:to
",� PLAN NO.
OWNER Xc � ti--
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DESIGNER (
USE /NATURE OF WORK fi t— L»
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 10 t 7 ,ke C !- e T r
Electric Serv. New p Change ❑ Temp ❑ Type Volts Amps
Fixtures pc-__— Switches ptacles - . ircuit 36.7
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 /
FEES: Valuation $ Permit Fee Paid $ /� Park Dedication $
ISSUED BY Date =1 — 72-- Final /O.P. ! )Z9 /1-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE //
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AG OWNER DATE
ADDRESS /
TELEPHONE #
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OWNER i
A R _ OF WORK 41.7•Jr_5/° r
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4 RV. N CHALK AMP
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tai • N ERVICE DAT ._ ' 21 .:1'
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