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HomeMy WebLinkAbout0005004-Electric (switches & circuits) CITY OF OSHKOSH N2 05004 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG p ELEC JXI PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 13 /) W d u9 O 0 PLAN NO. OWNER 6-e r de r/1 N �/ / e DESIGNER REY V 9`j j 1:;:i 3 I / �S J 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 ELECTRIC CONTRACTOR oi G et vice Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps /' Fixtures Switches Receptacles Circuits ___ II 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 1 FEES: Valuation $ / ✓� Permit Fee Paid $ Q- ��v m Park Dedication $ ISSUED BY Date d g7 .Re - 8 7 Final /O. P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / r Al ∎ ,� /4- /7' ,g,a 0 AGENT /OWNER / DATE ✓ ADDRESS TELEPHONE # t PERMIT NO. © 5 0 9 APPL. DATE ELEC. CONTR. OWNER ADDRESS 3 to - W NATURE OF WORK i ELEC. SERV. NEW CH ►: TEMP. DESC. TYPE VOLTS AMPS FIX'S SW'S a& RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINA 4047 EST. COST /©a� PERMIT FEE i f � DATE P 7, REMARKS