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HomeMy WebLinkAbout0009638-Electric (temporary service) � CITY OF OSHKOSH No 09638 . `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - -T�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �• PLAN NO. OWNER DESIGNER _ `L /�� USE/NATURE OF WORK ` 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 ' ��C - ' Electric Serv. New ❑ Change ❑ Temp 1A� Typ�).� Volts/1�a 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 $ Park Dedication $ ISSUED BY Date ���� Final/O.P. �'�,��"' �� In the performance is work I agree to erform all work pursuant to rules governing the described construction. SIGNATUR � L� � � V �� AGENT/OWNER DA E � ADDRESS TELEPHONE# PERMIT NO. V l U/ �� � z ELEC. PL. D � ��S -- ��-- ,_ CONTR. � � OWNER ADDRESS � NATUR� pF wORK ` EC. SERV, N� D C• TYPE ��_ c.,�.�_. � CfiANGE . FIX S SW'g VOLTS Z � TE APPLIANCES RECEPT g � �'S 2r,a CIRC'S pt � SIGNS � INSP. ROUGH N EST. COST SERVI REM,a.RKS ` PERNiIT FE � F - ��Sg . DATE P ,j-B �