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HomeMy WebLinkAbout1989-Electric (correct violations, install switches & receptacles) � �CITY OF OSHKOSH N° 16678 ` PERMIT-- APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT '; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS %� � � 1� ,�� PLAN NO. OWNER �,�` �LZ�C DESIGNER USE/NATURE OF WORK��� �f���G'�'��'�� �► �►-��� ��� �� j � �— ����������� : 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 S� �4 r � �`Q c- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures 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: Valuati n $ � ��U Permit Fee Paid $ ����U 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. SIGNATURE �/�� � � " /a � � AGENT/OWNER DATE ADDRESS ' TELEPHONE# .