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HomeMy WebLinkAbout0038783-Electric 6 // CITY OF OSHKOSH N ° - 38783 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3I /3 / ezo-c ,c, PLAN NO. OWNER ) o-t'.C.e- 7 /a .0 DESIGNER • USE /NATURE OF WORK 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 4 ELECTRIC CONTRACTOR C -t I-' --.cam . Electric Serv. New, Change ❑ Temp ❑ Type (4/6 Volts 34 Amps ! 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 FEES: Valuation ?Oaf) . 0 5 Permit Fee Paid $ Park Dedication $ ISSUED BY 44�.(fef.P r�■ Date v/5`/4i fL Final /O.P. /C `/ -9`f In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. O ZO3 // APPL . DATE 3///4 ELEC. CONTR. /:/.4.-~a.� OWNER ,�d/,6 .i/�.� ADDRESS 3//3 �.,e/,/& -tga — NATURE OF WORK ELEC. SERV. c N CHANGE DESC. TYPE VOLTS 3 y /� AMPS , o FIX'S SW'S RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE 3X/9s( FINAL / f EST. COST Z-& , o p PERMIT FEE SV. © O DATE PD.WV / REMARKS f