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HomeMy WebLinkAbout0009253-Electric (a/c) CITY OF OSHKOSH No 09253 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1' V '44 (A7c t}c _ . PLAN NO. OWNER J a Pour- DESIGNER USE /NATURE OF WORK A /c_ 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 --"\-----.. f 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 $ • • OC3 Permit Fee Paid $ if f c / Park Dedication $ ISSUED BY I// et,- r Date 7 -1 .-- 7. -,- Final /O.P. 7 /..- - Yf In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE f' ,,, K-Sct-a./. ? AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. © 9 S � APPL. DATE _ ELEC. CONTR. OWNER ADDRESS X D NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW ' S � RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINALZ EST. COST led " % PERMIT FEE S% DATE PD.7 /2 �f REMARKS