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HomeMy WebLinkAbout0027126-Electric /`'� _ CITY OF OSHKOSH N° 27126 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS L�7U �- Z G�L PLAN NO. � � OWNER DESIGNER USE/NATURE OF WORK i�%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 Electric Serv. New ��Change ❑ Temp ❑ Type Volts l �D Amps � � Fixtures v Switches �f"eceptacles � 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 $ S� � Park Dedication $ ISSUED BY �— � ���, Date Final/O.P. _ tl - a 1 - 9 a In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ��J' 1� T/O NER DATE ADDRESS TELEPHONE# CITY OF OSHKOSH, CODE ENFORCEMENT DIVISION, 215 CHURCH AVENUE, OSHKOSH, WISCONSIN 549U1 VIOLA TION/C ORREC TION NO TlCE DATE INSPFCTED: OCCUPANCY INSPECTED ADDRESS OWNERS NAME AND ADDRESS NOTICE DELIVERED/EXPLAINED T0: cc: ITEM � ORDER FINDINGS OF INSPECTION � .. . ' �{,-r} ,L iL-rG.z,. �.-/',=< ..�.. �yl�ct�Ti�--�, � � v._. ��' INSPECTOR: COMPLIr1NCE DATE: