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HomeMy WebLinkAbout0031347 Electric (Remodel)CITY OF OSHKOSH N° 31347 n PERMIT - APPLICATION AND RECORD TVPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' _ _ " ' _ " " _ " ' _ " " " " " _ " " " ' _ " _ " " " ' _ " _ " " " _ " " " _ _ _ " ' USE�NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Founda�ion Class of ConsL Occupancy Permi� HEATING CONTRACTOR Heat ❑ A/C ❑ Vem ❑ FueliSys�em Heat Loss ELECTRICCOMRACTOR � �'����y J-����' /� • Eleclric Serv. New ❑ Change ❑ Temp ❑ Type Vol�s— Amps— FixWres�.— Switches X Receptacles Circuits ��/ PLUMBING CONTRACTOR— BT —WH Lav Sh _ WC —_ FDr Sink LTub O�her _ Oisp DW — SP Eject WSoft DF Ur SS CBasin --San. Sewer_ Storm Sewer Water � FEES: Valw ienion nv In the peAormance of Ih�s w r I agrae to pedorm all wof u t to rules govemin9 the describetl construction. / li / SIGNATURE� ��N���� .,,o.,..,.,.,�.e 7 �/�� /(�, . /40� ADDRESS TELEPMONE Y