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HomeMy WebLinkAbout0042086-Electric � S��v CITY OF OSHKOSH N� �20�6 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC 1,1'( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - 1T- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���� ,�� /��< ��/>'� PLAN NO. OWNER � . � DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit klEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . ELECTRIC CONTRACTOR Electric Serv. New�Change ❑ Temp ❑ Type Volts��'o 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 $ Q��^ �� Permit Fee Paid $ �Sr�• � � Park Dedication $ ISSUED BY Date���1�(� � 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 N � PERMIT NO. �`"���� . APPL. DATE ELEC. CONTR. �6���"`� R OWNER G��<�'"tj �� � � �D�ss 30/ Sr� �/1�.�.-- , N OF WORK RV. ANGE TEI�. VOL S � A1�S v� FIX' S ✓SW'S _� RECEPT'S �' CIRC'S / APPLIANCES � � S GN � INSP• ROU N ERVICE F N �d 9 E . COST ° P RM T F Elsv DA D. l R P,RKS �: � � � �