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HomeMy WebLinkAbout0005500-Electric (boiler pump) /, CITY OF OSHKOSH N° 05500 � `' PERMIT - APPLICATION AND RECORD , TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � �� PLAN NO. OWNER � � z DESIGNER ' E � 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 ; � ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps k Fixtures Switches Receptacles Circuits� : c 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 G FEES: Valuation $ ` � Fee Paid $ � Park Dedication $ ISSUED BY Date i` �� �'' p / Final/O.P. y —��—�✓ � f In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE � � . GEN / ER DAT ADDRESS � TELEPHONE# PERMIT NO. D ✓ � � APPL. DATE �� �-O � # ELEC. CONTR. ~� JWNER ADDRESS l �f � �t/ �-�G��� NATURE OF WORK 6 � -- % Gt3J') ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS - FIX'S SW'S RECEPT'S CIRC' APPLIANCES SIGNS IN5P. ROUGHIN SERVICE rINAL =/�'�'1 EST_ COST � pERMIT FE�� DATE pp B�7 REMARKS