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HomeMy WebLinkAbout0018346-Electric (a/c) CITY OF OSHKOSH N9 18346 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 2p/' A)I AA, ( S PLAN NO. OWNER all/rd A DESIGNER /� USE /NATURE OF WORK A/ 1,. —' 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 <S7, Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures — Switches Receptacles Circuit 9P---- 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 FEES: Valuation $ l 0 • D-1 Permit Fee Paid $ /C- v Park Dedication $ C� ISSUED BY Date �"r 7 0 7 Final /O.P. '2 — Fee' In the performance of this work I agree to perform all work pursuant o rules governing the described construction. SIGNATURE ori ' .- , c, <cc CAC" . ,f- C A GENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO . / j . APPL . DATE -� ELEC. CONTR. OWNER “1-'zi2 ADDRESS o Z ©/ S C NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP, DESC, TYPE VOLTS AMPS FIX'S SW'S k1 __ RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL -�a EST. COST / GQ °% PERMIT FEE , - - DATE PD -V. REMARKS 1