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0008802-Electric (A/C)
� CITY OF OSHKOSH N° 08802 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ' w' / "� � � . PLAN NO. ' OWNER �O� �U LY�h'2_ . DESIGNER USE/NATURE OF WORK� ( � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HE�4TING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . ELECTRIC CONTRACTOR c.. �L C�'d� ��c G-(7 ��C— 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 $ � �� Permit Fee Paid $ �'1"• �� Park Dedication $ ISSUED BY Date � '—( � �� Final/O.P. � — � S— �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. (� SIGNATURE �(�� � ��� �—�J � AGENT/OWNER DATE �� ADDRESS TELEPHONE# - PERMIT NO.���D �- APPL. DATE s±� T - �� ELEC. CONTR. � �t I�` ��c��2� OWNER ADDRESS �/ � - `�jL/ '','1 A�e��, NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. � DESC. TYPE VOLTS AMPS FIX'S SW'S RECEPT'S CIRC'S� APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAIL-�f�8 EST_ COST //�D PERMIT FEE � DATE PD �/s REMARKS