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HomeMy WebLinkAbout0030843-Electric (4) CITY OF OSHKOSH N°_ 30843 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / Y _ PLAN NO. OWNER /+- #49 '1 Tt- DESIGNER n / USE /NATURE OF WORK 0 n�-ry. (2 ell .2. e � 'i -- 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 I:O / 7 L P C Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps a ED______, 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 .7 ® G A, O G FEES: Valuation $ 1 v Permit Fee Paid $ � 5 _ ��— Park Dedication $ ISSUED BY -7 Date �� —1-12--- Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE c/ -7� AGE / OWNER DATE ADDRESS TELEPHONE # PERMIT NO. / 41 r Y/ . APPL . DATE ELEC. CONTR. 'Al AZT OWNER %rZ� ADDRESS / 4'J5 -- i ' /W-' NATURE OF WORK ELEC. SERV. NEW GE TEMP. DESC. TYPE VOLTS AMPS F X' I, SW'S - CEPT'S •._ C RC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL EST. COST ' f � © O `--- PERMIT FEE !.5 DATE PD. 4 =. REMARKS