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HomeMy WebLinkAbout0036952-Electric (bedroom) /CITY OF OSHKOSH N °- 36952 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC7 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 0 3 l/(f )44- PLAN NO. OWNER j'(fl DESIGNER 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 /Clt p.�./,�c. jewtzgo_--- /.dj Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 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 FEES: Valuation $ 0 • O c Permit Fee Paid $ (S --o'° Park Dedication $ ISSUED BY ? 'J--" Date / / / /w'o ff..? Final /O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. // SIGNATURE r ..`` AGENT /OWNER DATE ADDRESS TELEPHONE # • PERMIT NO. �P �Z. APPL . DATE /d/ 4 ELEC. ONTR. )63C? OWNER Mat-ItaArx__ ADDRESS 5 I✓ G rrd NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX'S SW'S RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINALN °IM EST. COST ?.e ©,evo PERMIT FEE /. ©v DATE PD.( ///6/43 REMARKS