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HomeMy WebLinkAbout0020305-Electric CITY OF OSHKOSH N° 20305 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 5 2 - PLAN NO. OWNER -`'"-• DESIGNER / USE /NATURE OF WORK (if�L -2- - 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 a t„...____;0. ELECTRIC CONTRACTOR Electric Serv. New © ❑ Temp ❑ TypeW Volts Of 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 a C J FEES: Valuation $ e e" Permit Fee Paid $ / 51- Park Dedication $ O ISSUED BY Date / 7 <e Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ./ / SIGNATURE ..;..� �.���� " /' , /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. a D 3 6 . APPL . DATE ) ` / / ELEC. CONTR. ( f4 e 0 // / f OWNER ADDRESS / 3J NATURE OF WORK_ ELEC. SERV. NEW c- CHANGE TEMP. DESC. TYPE I- LA- - v -- VOLTS 1 .l -'o AMPS1 FIX'S °(..., SW' S A. RECEPT "S O CIRC' S c` APPLIANCES ✓ a.--e--eor--5--4,- o A,c - I - 9 C ea/le.") ROU !J- - 0 ER A - - FIN EST. COST ' 000 PERMIT FE- 'DATE PD - 7 REMARKS 6 <1 ®s % %f® `P==- r