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HomeMy WebLinkAbout0023382-Electric (service) CITY OF OSHKOSH No 23382 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELECPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 202,c) )10 ,4.)(J--} PLAN NO. OWNER L Odt. g) (26q DESIGNER n C G USE /NATURE OF WORK ( KOJ /ice ' 3 T 46 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 if _ ._ 9i7_ 1 ' . Aral (- 9 -" C. Electric Serv. New y Change ❑ Temp ❑ Type • Volt- L#.> Amps l " K) Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - BT WH Disp WSoft — CBasin Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer - Sink LTub Eject SS _ Water Other oG V/ © G / FEES: Valuation $ ® Permit Fee Paid $ . Park Dedication $ G ISSUED BY Date .s - �'"Y `L/ Final /O.P. 1 .5 ---- - 7--- / -7 1 In the performance of i rk I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /Ma (� e/, AGE W ER q" ATE ADDRESS TELEPHONE # PERMIT NO. 2' 3 3 0 'APPL. DATE " 9 V ELEC. CONTR. 76:ef ,, OWNER 41.-frt.,,-,-,A G 6 , ADDRESS pZ0 02 94-.--- NATURE OF WORK ELEC. SERV. NEW 2 0 CHANGE TEMP. DESC. TYPE - ak - 'f w -- VOLTS /Z��.01r AMPS 0 O FIX' S oC SW ' S ( RECEPT -r S i'S CIRC' S, APPLIANCES V SIGNS C INSP . ROUGHIN SERVICE f /F INAL 5 - 2- -- f/ EST. COST / OW PERMIT FEE 3 3 DATE PD. f-. REMARKS , t