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HomeMy WebLinkAbout0004471-Electric (office remodel) CITY OF OSHKOSH N°_ 04471 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC gt PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1 _ _- i ....Z PLAN NO. OWNER 1 7 . V 4—e-- DESIGNER USE /NATURE OF WORK ,-11-47-L–frjel o 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 f �-!–c_______ Electric Serv. New ❑ Change ❑ emp ❑ Type Volts Amps Fixtures Switches ' \ Receptacles Circuits 90 1 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 $ t J� Permit Fee Paid $ t.7 C Park Dedication $ 7 ISSUED BY ./7 Date l� ' S - g 7 Final /O.P. 7'— 7 -8' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE '� /y[(� /J( /� i 0 r CY EI AGENT/ ER DA ADDRESS TELEPHONE # PERMIT NO. � ( APP',. DATE S - /Y 7 _ i / ELEC. CONTR. �(/ OWNER g,� l ADDRESS 17/ /< l ` ' NATURE OF WORK ELEC. SERV. NEW CHANdt TEMP. DESC. TYPE VOLTS AMPS FIX'S W Ski C RECEPT' S CI RC' S�^ APPLIANCES SIGNS INSP . ROUGHIN e-- SERVICE • FINAL j- 17 EXT. COST ,2 O0© PERMIT FEE ,SD °- - DATE PD.7 X 87 REMARKS r f