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HomeMy WebLinkAbout0024708-Electric € /� CITY OF OSHKOSH N° 24708 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - - - - - - - - - �� - - - - - - - - - - - - - - ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS--�����• NC (I PLAN NO. OWNER DESIGNER USE/NATURE OF WORK � � O (II �' I ` � � 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 ELECTRIC CONTRACTOR�`> �1.���-- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures � Switches �1 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 $ SD• �� Park Dedication $ ISSUED BY Date � � ` / Final/O.P. (O ��J �� In the performance this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� �� ` � AGENT/OWNER DATE ADDRESS TELEPHONE# t �� �D� /- `� - PERMIT NO. . APPL. DATE /G � `/�_ ELEC. CONTR. - � OWNER �' ADDRESS �- 7 — �� ��7�"��- NATURE OF WORK L� ELEC. SERV. NEW CHANG TEMP. DESC. TYPE �+-��-� VOLTS �' �*d AMPS lU� FIX' S SW' S RECEPT' S CIRC' S APPLIANCES S I GNS �- � INSP. ROUGHIN SERVICE `': S� FINAL " EST. COST 6G'. PERMIT FEE °% DATE PD. - � � REMARKS