HomeMy WebLinkAbout1989-Electric (a/c) (2)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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14063
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR
Heat D NC D Vent D Fuei/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~ ç a - ~
Eiectric Servo New D Change D Temp D Type - Volts - Am/ps /' ()/). . f
Fixtures Switches V Receptacies Circuits..L:- /~
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF'
_CBasin
- San. Sewer
_Lav
_WC
_FDr
_LTub
_SP
_Ur
-Storm Sewer
_Sink
Other
_Eject
_SS
_Water
ISSUED BY
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Permit Fee Paid $
Date // - ?-tf, - j".9
/
Park Dedication $
Finai/O.P. ¿ --.?-6--l) 7'
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In the performance of this work I agree to perform ail work pursuant to ruies governing the described construction.
SIGNATURE ~ ~
AGENT/OWNER
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/ DATe'
ADDRESS
TELEPHONE #
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PERMIT NO. I J-( ~k '~~. DATE ¿, -;( 3
ELEC. CONTR.. ~Aé"'~- /
OWNÉ~ ~~ .
ADDREsJ . /lffY - U/~3~
NATURE OF WORK P ~ ¿
ELEC. SERV. NEW CHANGE
DESC. TYPE VOLTS
FIX'S SW'S'~ RECEPT'S
APPLIANCES
~Y9
,
TEMP.
AMPS
CIRC' S ()(
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SI'GN
NSP. ROUGH N
'EST. COST
REMARKS
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SERVICE
PERMIT FEE