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HomeMy WebLinkAbout0026728-Electric CITY OF OSHKOSH N°_ 26728 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 2-S /o (--/ J PLAN NO. OWNER el-e7-75,5 2 / i"S' DESIGNER ,(�j - - ) USE /NATURE OF WORK /'r' '��/ /4-,e,_ 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 s--).E.,. Electric Serv. New 0 Change ❑ Temp ❑ Type 4 6 Volt/ 16 Amps Zet' Fixtures Switches ( Receptacles ,e---- . 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 v 6 / FEES: Valuation $ 5e9© � Permit Fee Paid $ 2 — /7 ,?/- Park Dedication $ ISSUED BY Date 4 7— 9 / Final /O.P. / _ g l 9 a In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / 9 AGENT /OWNER D A ADDRESS TELEPHONE # PERMIT NO .2 7 . APPL . DATE // S ELEC. CONTR. £4 6 OWNER ADDRESS ;-5/.1 _ NATURE OF WORK ,4 ELEC. SERV. NEW pC CHANGE J TEMP, DESC. TYPE 3 - w - 19-- VOLTS /2 4 AMPS 2 G FIX'S ()‹ SW S ,}x RECEPT S ()'L CIRC' S A APPLIANCES SIGNS fir/ �'�j INSP. ROUGHIN cf.-11144 -qt SERVICED /1- / / -S -4/ E'INAL EST. .COST / 'oa� -- PERMIT FEE Se DATE PD /2 -i9 9/ REMARKS