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Home My WebLink About0006854-Electric � ,� CITY OF OSHKOSH N°_ 06854 �' � ► PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I�� Ct�K S a �1 PLAN NO. OWNER��'�.h G r � �R� �E'1l : DESIGNER / , USE/NATURE OF WORK �e YYl�Jd�l f� � BUILDING CON�f'RACTOR 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_ D�Yl/1 e. ��C'_C� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps • Fixtures v 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 $ �I Permit Fee Paid $ �D 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. SIGNATUR� � �Q AGENT/OWNER DATE ADDRESS TELEPHONE# � -� a � g�5� ., � , APPLICATION FOR ELECTRICAL PERMIT Date �� % �� I/We ��_ Electrical Con- tractor, erewith ma ke application for a permit to install the following electric 1 w es & apparatus in the premises of ` G%�' � No. � �� St reet -�� ^�� . New Service Furnace � Change Service Electric Sign Temp. Service Motors Range Air Conditioner Water Heater Gas Pumps Garbage Disposal Fixtures Dishwashers Switche� Dryer Receptacles_ Fan or Blower Circuits Date Issued Master Electrician � � Estimated Cost ��Q � � �—_ � PERMIT NO. � � �✓ . APP . DATE `- S` �� ELEC. CONTR. -� , OWNER � �'� ' � ADDRESS / '� NATURE OF WOR F.T.Fr SERV. NEW CHANGE TEMP. Q,��-SC TYPE VOLTS AMPS FIX'S �- % �� -RECEPT'S �� CIRC'S� � A�PLIANCES � IGNS NSP. ROUGH N -/' -S ERV CE FINAL ES . COST O PE IT FEE �DATE PD.�'�Z�'g� RENLARKS � �