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HomeMy WebLinkAbout0020245-Electric (addition) � _ CITY OF OSHKOSH N°_ 20245 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3 S� w �� PLAN NO. OWNER `�` DESIGNER USE/NATURE OF WORK ���� 2 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEKTING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR ����Ll-L �/�c� Y'� c_ ���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 � C7 e— � G FEES: Valuation $�L�� ✓— Permit Fee Paid $ ���—�"'�' Park Dedication $ ISSUED BY Date p '��l`'"�V Final/O.P. 2- ✓ ��`�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (J �/ ` � AGENT/OWNER TE ADDRESS TELEPHONE# � � t PERMIT NO. � ��/ �r . APPL. DATE � � _ � � ELEC. CONTR. �� - � k � L� � � OWNER � ? � �_7 �� � � � ADDRESS •J �5 � � NATURE OF WORK � � � 3 FIEC. SERV. NEW CHANGE TEMP. ` � DESC TYPE VOLTS AMPS _ � � FIX' S �_W' S ��RECEPT' S �'�—rIRC' S-�� � � ; APPLIANCES ` � � r. � SIGNS f $ ZNSP. ROUGHINd � � '9 SERVICE FINAL �-�' / � � EST COST � Dd° ` PERMIT FEE � r°�=- DATE PD$-3�-9D � ? REMARKS . i ; � � � � 1 4 ! f I