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HomeMy WebLinkAbout0040535-Electric (circuit for a/c) ID�Z' � CITY OF OSHKOSH N°_ 40535 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ! ADDRESS �S Z PLAN NO. OWNER ���� DESIGNER USE/NATURE OF WORK 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 . FI FC`TRI[` C`(1NTRAC'T(�R�,�,��iC 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 $����• � ° Permit Fee Paid $ IO• BO Park Dedication $ ISSUED BY �� �1.�r.CGu.�..- Date 7�L/�5'f� 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 M Cv/L PERMIT NO. �S � � . APPL. DATE ELEC. CONTR. .lLez�t+�-�-, � OWNER a- ��j3.C�� � ADDRESS /-'�2`f �.G�f.� IvATURE OF WORK ,�1�EC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW'S RECEPT' S CIRC' S APPLIANCES �'f,,t SIGNS NSP. ROUGH N SERVICE FINAL c.+/�� EST. COST G�o , ,��:� PERM2T FEE/d.v�� DATF. Un_'7 zi S f REMARKS + I I � I � e I � I I