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HomeMy WebLinkAbout0042185-Electric (change) �� � CITY OF OSHKOSH N� 421 5 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �����' // PLAN NO. OWNER �-����/ �'��ef�.� DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR $ize Sq. Ft. # Rooms # Stories Height i �Foundation Ciass of Const. Occupancy Permit i HEATING CONTRACTOR Heat [] A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ ange�Temp ❑ Type /lV Vol�� 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: Valuatio ���" " v , Permit Fee Paid $ '�v Park Dedication $ ISSUED BY �`� Date � Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS ' TELEPHONE M ��- 9• �� � 3 � P�RMTT NO. �2r/�S� . APPL. DATE ��� ELEC ONTR. /"�/ � ,�/ � OWNER /�'�y �u s�� ADDRESS �� � GtJ• �,Gv-x-�� � NATURE OF WORK ELE_C. SERV. NEW o TE1�. �ESC. TYPE �/ VOLTS � P,I�S f� FIX'S SW'S RECEpT'S CIRC'S APPLIANCES / � N P. OU R CE z4 F IN '� � . CO � o F D D. /o y REMARKS � �