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HomeMy WebLinkAbout0010852-Electric � CITY OF OSHKOSH No 10852 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC J� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT / � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS O a °� ` PLAN NO. OWNER � � /���dl'�.L� DESIGNER c 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 Electric Serv. New�Change ❑ Temp ❑ Typ� Volt �f�� Amps �� J 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 t���,. . ./ ; ,; FEES: Valuation $ � 0 p� �r/ Permit Fee Paid $��m0l� �Qg�CI�, �arch 16, l�k Dedication $ ISSUED BY Date ld ��_�� Final/O.P. � � � � � � u� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /�� ����'— �� fIG��� AGENT/OWNER DATE �. ADDRESS ���e ' 1 ��Q TELEPHONE# PERMIT NO. ` � v � � APPL. DATE `��7 ' � ELEC. CONTR. • OWNER � � ADDRESS �O� � �J /�`°� NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE -I.t� - u VOLTS -Z� � �f O AMPS QG FIX'S ,� SW' S � RECEPT' _Jy CIRC' S ?C ' APPLIANCES � SIGNS �g- INSP. ROUGHIN �- /-L� - SERVI � FEE WAIVE�INAL/ - �- EST_ COST �aa PERMIT F� Rp��,iutirn -u-��E PD. R.EMARKS 1'nmmnn �' +� ;�' Py;arE�-}�t;�ne-� � �