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HomeMy WebLinkAbout0045107-Electric (a/c) � rZ CITY OF OSHKOSH N°- 45107 n PERMIT - APPLI 1 N A RE RD CAT O ND CO TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / I � �� • l J���-' PLAN NO. OWNER � . � DESIGNER . USE/NATURE OF WORK� _ 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 . FI FrTRIC CnNTRACT(�R�_,�_.�L�C/` 1 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: Valuation $ � D� ' �� Permit Fee Paid $ � �' ° � Park Dedication $ � � ISSUED BY Date 2 � 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