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HomeMy WebLinkAbout0004992-Electric (garage) � CITY OF OSHKOSH N° 04992 �' PERMIT - APPLICATfON AND RECORD � TYPE: � BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � w �/ 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 i ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Te ❑ Type Volts Amps Fixtures�_ Switches eseptacles '" ��cuits �- � 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 $_ Permit Fee Paid $ / � Park Dedication $ ISSUED BY Date !��g —g � Final/O.P. �—�0 '� � In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE ' � llv � � �'���� : AGENT/OWNER DATE ' � ADDRESS / TELEPHONE# �.� ` �-�, "i���� -- ! � � /, -ZO/ �1