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HomeMy WebLinkAbout0021813-Electric (misc) � CITY OF OSHKOSH N° 21813 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS^� � l I V �`'1 /�C`Z� '`� ' PLAN NO. OWNER (,T L D[/'/C� �.(( v?.S `� �� DESIGNER USE/NATURE OF WORK � � � ~ � � ��1 �v� �'l. �c �ou s � 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� r � '� L- �y'��L �D•�'� • Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps < Fixtures � Switches �— Receptacles L� 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 � 2 �3 FEES: Valuation $ � �Permit Fee Paid $ °�v f Park Dedication $ ISSUED BY Date ` � �`�—! � Final/O.P. �'� ll—�� In the performance of this work I agree to perform al work pursuant to rules governing the described construction. �.�(i�' �-.'G /� /i SIGNATURE 7 C� AGENT/OWNER DATE � ADDRESS TELEPHONE# L?� i PERMIT NO. � / �/� * • AP L. DATE l� ` �`� `�� _ � � �^ ELEC. CONTR. � �t �A'� — OWNER �-,�,�"��-`;,;� �,�-,����y� _ ADDRESS c� � I / -- l�-�:-�"'�-�l NATURE OF WORK t �r� - :� ,_�,c�:.,� 3� FT,EC SERV NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW' S RECEPT' S CIRC' S � APPLIANCES SIGiVS __ _ INSP. ROUGHIN SERVICE FINAL .2 �1�'�� � EST COST � �r'��'� PERMIT FEE�ZL? � DATE PD ,�Z-lf-9O REMARKS