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HomeMy WebLinkAbout0027884-Electric CITY OF OSHKOSH N°_ 27884 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ( {BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / s PLAN NO. OWNER s ' DESIGNER 9<44--c....----- USE /NATURE OF WORK r 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 / / a,) Electric Serv. New [1r" - Change ❑ Temp ❑ Type�'�/ Volts ` 0 a Amps 7 4C) tom. i. 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 / el ° ✓ � FEES: Valuation $ ,/ ` d Permit Fee Paid $ �� Park Dedication $ ISSUED BY / `'� %t/ Date 3 j — Final /O.P. In the performance of this w. k I as -e to perform :0 work pursuant to rules governing the described construction. S SIGNATURE 4 - - ✓ O . A pr _.�aff NER DATE ADDRESS TELEPHONE # PERMIT NO. al 287 . APPPL DATE 3 - 7 - ELEC. CONTR. Cd-r---4.. OWNER ID D - S d l S_ - / NATURE OF WORK /1121117 ELEC. SERV. NEW K CHANGE TEMP . DESC. TYPE 3 cv — v 4 VOLTS r t t 0 AMPS co ° FIX'S DC SW' S Oc RECEP/jG � T' S ©c CIRC' S . APPLIANCES cnJp SIGNS INSP. ROUGHIN SERVICE FINAL EST. COST (2_ 00 " PERMIT FEE f O - DATE PD .Y - 361,, REMARKS