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HomeMy WebLinkAbout0013106-Electric (a/c) /� CITY OF OSHKOSH No 13106 : `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �S � � � �±�' �`j�-' ' PLAN NO. OWNER IL e� �2 c��^I�' DESIGNER USE/NATURE OF WORK � �/Z� �-+�-- e� �nd �'�� a�G�w 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 i� a +z r� Ia�c.�' � ✓� c �.1 � A t C 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 $ f '�S Permit Fee Paid $ �5 •t7 O Park Dedication $ ISSUED BY Date � �—�����/ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �_� /�'YL�-rc��''"- J� 3I$ '�1 AGENT/OWNER �ATE ADDRESS TELEPHONE# � - k . 1 � t.(� � J �. � ._ �� E f � / . APPL. DATE i PERMIT NO � CONTR. ��" � � � � !�� � E C. � `� v� � OWNER �r ��`� �7`�Ll�, .-� � �`� r ��-- .� � . � �. ADDRESS � NATURE OF WORK � � ERV. NEW � ��� � � TYPE VOLTS S - � FIX' S SW' S RECEPT' S CIRC' S DC J AL�10E$ � � , - SERVI CE F IN �-/S- � N P. ROUGFi N � - „�,rm� nn t.-�►>�`�� �S COST ! 7 �`°� PERNIIT r��; �� LniL � S � � 4 € � � i T � I