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HomeMy WebLinkAbout0037361-Electric 3 �/ V � N° 37361 � /� CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - - - ��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��o �� �-e-w PLAN NO. OWNER ��G�� �i�� DESIGNER USE/NATURE OF WORK � BUILDWG CON7'RACTOR 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 �'-�'�°� D-�'!-- ��- Electric Serv. New ❑ ange ❑ 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 $�0D 1— �G�"� Permit Fee Paid $ ���� Park Dedication $ ISSUED BY �"' !-�Cr Date ��1-�0%3 Final/O.P. • � �7� In the performance of this work I agree to perform all ork pursuant to rules governing the described construction. SIGNATURE � � `� D�L22 ��L I oZ �d 9 3 AGENT/OWNER DATE � ADDRESS TELEPHONE# _ (� i z,., PERMIT NO. ��3 �I . APPL DATE �L�7��/'3 ELEC. CONTR. OWNER �d.r� �Z/� -�'� � ADDRE S ! d �• NATURE OF WORK �?�� SERV NEW CHANGE TEP'!P- DjSC TYPE VOLTS �S - FIX' S SW'S __ RECEPT' S CIRC'S APPL ANCES SI�GNS INSP. ROUGH N ERVICE FINAL Z� EST. COST oo.00 PERMIT FEE ���'� DAT PD. 6 3 : REMARKS