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HomeMy WebLinkAbout0020312-Electric � CITY OF OSHKOSH N� 20312 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' . ADDRESS �-S � PLAN NO. � OWNER DESIGNER USE/NATURE OF WORK W�� lY�-��� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATIIy�G CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR i Electric Serv. New [��hange ❑ Temp ❑ Type� Volts � `�v 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 � b c FEES: Valuation $ ���Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date / � � -�� Final/O.P. 3 '� `� �'/( In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� ��a GEN WNER DATE - ADDRESS TELEPHONE# � � PERMIT NO. � � � � �" � �PL. DA � C �L y� ELEC. CONTR. � � - OWNER � ADDRESS � ��'"��� '' � NATURE OF WORK � E EC. SERV. NEW CHANGE TEMP. D C. TYPE -u-' - VOLTS /�- .t m AMPS ��a FIX' S SW' S RECEPT' S CIRC' S AP L ANCES � S I�GNS � INSP. ROUGHIN - -� 'y� SERVIC - "�J�`� FIN �9 EST. COST 4° PERMIT FEE fd DATE PD -�'- �' REMARKS