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HomeMy WebLinkAbout0014925-Electric (temporary service) n _ CITY OF OSHKOSH , N° 14925 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - ��8.� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� PLAN NO. OWNER � Ih�Q S DESIGNER USE/NATURE OF WORK� �• � \�L� BUILDING CONT"RACTOR 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 � Type��L Volts ��mps.�� . 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 � / o G FEES: Valuation $ � -` Permit Fee Paid $ ` � Park Dedication $ ISSUED BY Date ����—�9 Final/O.P. ! — �� r�� In the performance of this w I ree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNEfl DATE � ADDRESS TELEPHONE# � . � � � ��� � . Y �� � _ PERMIT NO. . APPL. DATE � � E C. CONTR. � �`°" � � OWNER ��!Y��-.c�-.� ADDRESS � �� -��-�-� �� � ? NATURE OF WORK 3 U � '�1 � ' 4 # ELEC SERV NEW CHANGE TE1�• E DESC TYPE i � `'�-' - VOLTS �Z`% �G' AP'iPSi o n � F X' SW'S RECEPT S CIRC'S } � AN S , � N . ROUGH N ERVI � - '�- F INAL -�y- � Ecm COST ,Jl� ° PERMIT FEE /�' °` DATE PD.d�/��1�� � REMARKS ' � E # � i i