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HomeMy WebLinkAbout0008601-Electric (make repairs) � CITY OF OSHKOSH N° 08601 PERMIT - APPLICATI(�!V AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC�PLBG � SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ._-r•-._ ADDRESS S d'� PLAN NO. OWNER DESIGNER USE/NATURE OF�� r � 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 ' �2,�J 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 $ � �� permit Fee Paid $ �C/ Park Dedication $ ISSUED BY Date �y �,�_� Final/O.P. � '"�'— �� In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE � ���_ f �J AGENT-OWNER V � � DATE ADDRESS TELEPHONE# PERMIT NO.� �� APP . DATE � /� -� . _ . - , ELEC. CONTR. -Pt L�• OWNER � �;�!�� ADDRE S �� - �. NATURE OF WORK ELEC. SERV. NEW CHANGE EMP DESC. TYPE VOLTS AMpS FIX'S SW'S RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE__ FINALfe-9� EST_ COST 3�25 P RMIT FEE -a-�DATE PD� -y$� FtEMARKS -