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HomeMy WebLinkAbout0031847-Electric (a/c) CITY OF OSHKOSH N°- 31847 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �EJ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ���� � �7^ PLAN NO. OWNER �/ �Et1� � ���rU���L DESIGNER USE/NATURE OF WORK � ����� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ` i HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ' ' ' �' � . 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 $ �`"J— Permit Fee Paid $ l��— Park Dedication $ ISSUED B Date% 7 ���--Final/O.P. / / +�� ��� In the performance of thi ork I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE � � � AG T/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. �/ / . APP . DATE � �3� '��- ELEC. CONTR. u� OWNER � -Q �� ADDRESS �� l� `-" « ��� NATURE OF WORK ^ 1 FTFC SERV NEW CHANGE TEMP- DESC� TypE VOLTS AMPS FIX' S SW' S p� RECEPT' S CIRC'S G�' APP TANCES � S I�GN 3NSP ROUGHIN SERVICE FINAL � ` EST. COST � � PERMIT FEElA�DATE PDJ�-1/�9� REMARKS