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HomeMy WebLinkAbout0011458-Electric (remodel) CITY OF OSHKOSH N9 11458 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC 12 ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /7 77�'� �" PLAN NO. OWNER l'� ° �' "y A; DESIGNER USE /NATURE OF WORK u e r - e. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. ' Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S 1 , .‘,.._. e j ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures ` `—` Receptacles "-- Circuits 1 PLUMBING CONTRACTOR —. BT _ WH Disp WSoft — CBasin Lay Sh _ DW DF San. Sewer WC — FDr SP Ur Storm Sewer - Sink _ LTub Eject SS —Water Other FEES: Valuation $ o' a ® Permit Fee Paid $ .-a a U Park Dedication $ ISSUED B /Lg - - - Date // — Y Final /O. P. / -.3 D '" e?"7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. r SIGNATURE 14 • .T/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. / ` • APPL. DATE l /2 77- ELEC. CONTR. � eG� 7 ADDRESS NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX'S \ SSW S x' RECEPT' S CIRC' S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL // EST. COST /2 0 � PERMIT FEE 52, DATE PD. /l3 ©'d REMARKS r