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HomeMy WebLinkAbout007841 - Electric (new service) CITY OF OSHKOSH N2 07841 PERMIT - APPLICATION AND RECORD TYPE: BLDG` ❑ HTG ❑ ELEC R] PLBG ❑ SIGN El ZONING FLOOD PLAIN HEIGHT ADDRESS ) 7 . - / e re, � PLAN NO. OWNER afjee, loJ -7- DESIGNER USE/NATURE OF WORK AI` Pe ✓ c>iv! Ce 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 / — C f/c flic--ed) Electric Serv. New ❑ Change X Temp ❑ Type Volts Amps Fixtures — Switches Receptacles Circuits ,3 Mi) i 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 FEES: Valuation $ /- I Permit Fee Paid $ Park Dedication $ ISSUED BY 414rr ► ;,...i Date , 77- Final/O.P. 8g In the performance of this work I agree to perform all work pursuant to rules governing the described construction. e SIGNATURE Ale _ 2%�"'-'" �)-jztAJ 9 AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT !'?O. ' APR. DAT E — �- !L!e, eON?L / .� OwuER I r� ADDRESS ‘ ///' < NATURE OF WORK � ELEC. SERV. NEW CHANGE DESC. TYPE SW O _ VOLTS v ,/O TEMP, FIX' S RECEPT AMPS ©G APPLIANCES CIRC'S • SIGNS i INSP ROUGHIN � a r EST. COST SERVICE) • -/i- ' FINAL ' REMARKS ' A - PERMIT FEE 3 S DATE PD. -al If