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HomeMy WebLinkAbout0046258-Electric (wire office) � �3 CITY OF OSHKOSH N°- 46258 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �Z Z / � PLAN NO. OWNER ,� DESIGNER � USE/NATURE OF WORK�t�� . . BUILDING CON7RACTOR ' 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 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 $ �d � Permit Fee Paid $ 3 �1'`� � Park Dedication $ ' ISSUED BY DatA 7/Z Sr /S Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE Y l•� � � � y / ; PERMIT I�. �� Z"�a • APPL. DATE �/7�� � ELEC CONTR ���L�-�f" ` � � € OWNER � — _ ADDRESS ��� �-���'�`� ° � NATURE OF WORK ` � � C. SERV. CH�INGE TEMP- � 9 DESC TYPE � / � VOLTS 3 c.✓ AI�S J � � FIX' S SW'S RECEPT'S CIRC'S � 1 ApPLIANCES � � f � IGNS ; :s INSP. ROUGH N SERVICE S FINAL EST. COST o o PERMIT FEE �. c=� DATE PD. 1� � REMARKS ' � � � , 2 1 — �d� �zv�►J � � ; � E