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HomeMy WebLinkAboutElectric � CITY OF OSHKOSH N° 22006 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� C� �' '��—c i %� PLAN NO. OWNER d/�—C DESIGNER USE/NATURE OF WORK ��� 1it-� ---� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � Heat ❑ FVC ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �C�� �.� ��—P �/�_Sc Electric Serv. New ❑ Change ❑ Temp ❑ Type Volis Amps L���� �S 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 1 — � G , FEES: Valuation $ �— Permit Fee Paid $ �� ^�~—�j Park Dedication $ ISSUED B� Gt-� �� Date ,��3f '�C� Final/0.P. In the performance of this work I agree to perform all work pursuant to rules governing [he described constiuction. / SIGNATURE � �i ����� � -3/ - G' � �AGEN� - DA E ADDRESS TELEPHONE#