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HomeMy WebLinkAbout0004525-Electric (wire a/c) � CITY OF OSHKOSH N° 04525 `' PERMIT - APPLICATION AND RECORD : TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS �� ' PLAN NO. � � OWNER ' DESIGNER USE/NATURE OF WORK ���'"� � � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit . HEATING CONTRACTOR I-�eat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. Ne ❑ Change ❑ emp ❑ Type Volts Amps : Fixtures Switches�— Receptacles Circuits—�� �k� �V �'— � 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 $ � v � Permit Fee Paid $ � Park Dedication $ ISSUED BY Date ` �� �� Final/O.P. [o —�—� � In the performance of this work I agree to erform all work pursuant to rules governing the described construction. SIGNATURE v � AGENT/OWNER DATE ADDRESS TELEPHONE#