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HomeMy WebLinkAbout0045878-Electric (a/c) ��� � CITY OF OSHKOSH N°- 45878 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC (�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - ��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Z� �✓ � ��r� PLAN NO. . OWNER DESIGNER USE/NATURE OF WORK ��� �-o�'Wl 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 f ELECTRIC CONTRACTOR , � 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 i FEES: Valuation $ 2- - a � Permit Fee Paid $ ��° �O 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 AGENT/OWNER DATE ADDRESS TELEPHONE M