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HomeMy WebLinkAbout0011575-Electric (garage) � CITY OF OSHKOSH N� 11575 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ _ - 1� � L Lc� PLAN NO. OWNER G�— � DESIGNER USE/NATURE OF WORK �`" G 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 ' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches �� Receptacies �� 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 $ ` �`J Park Dedication $ ISSUED BY Date .,�� — J `�� Final/O.P. ! z � — �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ��� AGENT/OWN D E ADDRESS TELEPHONE# PERMI T NO. C �C �� , APPL. DATE � � — 4 � F � ELEC. CONTR. --� . , OWNER ADDRESS ` !l / � t-�°� - ��� NATURE OF WORK � _ , ELEC. SERV. NEW CHANG TEMP. DESC. TYPE VOLTS AMPS FIX' S SW' S t / _ RECEPT' S J�--.CIRC' S� _ APPLIANCES , SIGNS E INSP. ROUGHI,N�i�-� _ ,` 7 `� SERVICE _ FINAL/��9 � '( EST. COST �G�o � PERMIT FEEIZ � DATE PD. /.2,9� ( REMARKS � � �