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HomeMy WebLinkAbout0035168-Electric � � � CITY OF OSHKOSH N° 35168 PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG � ELEC PLBG - - - - - - - - - - - - - - - - - - - - �- - - _❑ SIGN [] ZONING FLOOD PLAIN _ _ _ _ _ _ HEIGHT o- , - - - - - - - - - - ADDRESS Q l�c�/. �T�'� - - - - - - - - - - - - - - - - - - - - - � OWNER f � PLAN NO. DESIGNER USE/NATURE OF WORK �(/ � . BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Foundation Height � Class of Const.___ Occupancy Permit�_ � HEATING CONTRACTOR Heat � A/C � Vent � Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �E- e. Electric Serv. New� Chan e Fixtures g ❑ Temp ❑ Type O�� Voltsr�z�• qmPS l G�j Switches ��pceptacles --�-- Circuits� PLUMBING CONTRACTOR _BT _WH —Disp _V�ISoft —Lav —CBasin —Sh _pW _DF _yyC —San. Sewer —FDr _SP —Ur _Storm Sewer —Sink _LTub —Eject Other —SS —Water FEES: Valuatio $ � 9�/� o �J Permit Fee Paid $ ��--�- ISSUED BY Park Dedication $ Date��—o� 9�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE I AGENT/OWNER �9 9� ADDRESS DAT TELEPHONE# �s/� � t PERMIT NO. �,..g �i c • APPL. DATE ELEC. CONTR. � �/ } . ���-�-f' � � OWNER � � ` � � . ADDRESS `� 3 _ (� � �� ; NATURE OF WO� 4 ' C• SERV. � D C. TYPE N C..t� _ CHANGE TEMP. � FIX'S SW'S VOLTS �t O .�MpS � AppLIp,NCES RECEpT CIRC'S � � � SIGNS �k � NSP. ROUGH N � 7— — _ � EST. CpST ERVICE " � FINAL � � REMARKS PERMIT FEE ✓DAxE PD. —,2 _ � � � € � i