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1987-Electric (a/c)
. � CITY OF OSHKOSH N°_ 04498 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT £ � _ � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � T � ADDRESS ��� w• i�YOC �U� C)�— . PLAN NO. E OWNER ���(Jt �D�� ` DESIGNER x: /., �..,h { USE/NATURE OF WORK S� �"�� T 1 I�iJ l. _ € r f E BUILDING CONTRACTOR t 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 �Y�k C . ��c fal �. � i C— . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches Receptacles�� Circuits—� PLUMBING CONTRACTOR � , —BT —WH Disp WSoft —CBasin E t Lav Sh —DW —DF San. Sewer � � —WC —FDr SP Ur —Storm Sewer Sink —LTub Eject SS Water S Other � i FEES: Valuation $ •� Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date / ���� �� Final/O.P. 7'� l d��./ In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE I� SZC�� � AGENT/OWNER ATE ADDRESS TELEPHONE#