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HomeMy WebLinkAbout0007880-Electric CITY OF OSHKOSH •° 07880 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC I PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 77 iCC- PLAN NO. OWNER ,Cg— c -e - �- - -�-- DESIGNER USE /NATURE OF WORK _ �� _ _ __ 917‘-/-e--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 1- Electric Serv. New M-"Sange ❑ Tem °-e} p ❑ Type Volts Amp 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 p b _ .1/ FEES: Valuation $ Q ------ Permit Fee Paid $ , 5 ©ma Park Dedication $ ISSUED BY ' d •' /. ,..h. 1 L Date ' "`7 a c Final /O.P. ri In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 0 SIGNATURE ��� / AG • /OWNER DATE ADDRESS TELEPHONE # , , v ,,, p PERMIT NO. a 7 46 ijelj APPL. DATE 1 9 F / / , ELEC. CONTR. OWNER ,, , ' ., ADDRESS v - NATURE OF WORK /f ,/ ELEC. SERV. NEW LS CHANGE TEMP. DESC , TYPE 3 - u- -- V VOLTS / '2. 4. AMPS 4,2"00 FIX'S Dc SW'S RECEPT`S DS' CIRC'S AS APPLIANCES v , SIGNS -% WeK r • INSP. ROUGHIN6 6 SERVICE r - 2.7 3 3 FINAL EST. COST /, PERMIT FE ' 5"'4, ' - DATE PD. •e REMARKS f