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HomeMy WebLinkAbout0028107-Electric (add meter) � CITY OF OSHKOSH N°- 28� �� `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ������Y°�''-� PLAN NO. OWNER ��i�-�t'i��7/� �Q�1 DESIGNER , ��� �� � (� USE/NATURE OF WORK �' ' -- �'� �1'Z��- --�-y � 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 ,�l�- S?A T Go LT.� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures�— Switches� Receptacles �.� Circuits � `� r 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 �1 � �— FEES: Valuation $ � �� `�-Permit Fee Paid $ �� Park Dedication $ � 9 ISSUED BY Date ��� f L � Final/O.P. �� - a j �°Z In the performance of this rk I ee to perform all work p suant to rules governing the described constiuction. SIGNATURE /���� �`�I� '�� AGENT/OWNER DATE ADDRESS �bS !✓ZSLSS ✓�/Lr�4 Y�STA �t/�ON/��� L"� 5.3�$(� Lf/l�- �L ;36SS TELEPHONE#