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HomeMy WebLinkAbout0006805-Electric � CITY OF OSHKOSH N° 06805 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . w ADDRESS—�2�3 I�����L D� PLAN NO. OWNER �' DESIGNER USE/NATURE OF WORK ��,V/U� ��°7� � � �'}� f�•/�. `�v �� - 2a o � f�2��2 Q,UILDING CON�'RACTOR 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 f�.� Volts Amps—�0 T` /���� Fixtures—� Switches�� Receptacles—� Circuits � ` � • �+ ��.G►� 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 $ � �ermit Fee Paid $ �� Park Dedication $ ISSUED BY Date ` —�— �� Final/O.P. ��' � ! a In the performance of this w gree to perform all work p ant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE �� ADDRESS TELEPHONE# /� � ��'/ --J � '� '� PERMIT NO.C-� " , ApP . DATE ELEC. CO TR. �� '�� OWNER �'����`��� ADDRESS � � — �� � � NATURE OF WORK �y � OC�.iT"E �7 1_ EC. SERV NEW CH E � y TEMP. i D C. T E �' �� '" -�•-C%' VOLTS '-" ��c' AMPS�U O FIX'S ���/ RECEPT � ` CIRC'S" APPLIANCES - SIGNS � INSP. ROUGHIN �'1 �' - SERV C -�2--� -a FINAL � � � EST. COST > `�—=�RMIT FEE � " �' ` ATE D -Z�� REMARKS t I � I , I f ( i I