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ELECTRICAL INSPECTION DIVISION - City of Oshkosh
PERMIT
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PERMIT TO DO ELECTRICAL WORK
N~
856g
I Lot I Block I Addition I Ward I Date 2-28-75 I
CITY ELECTRICAL INSPECTOR
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Permit to install wires and apparatus as listed herewith in the premises of
.........................g.f?.r.~;!'4....I<;t:~.E!.g~:;'..............................................................~~:~ Occupied as.................~.~.~~.~.:':....!:'.!!:.r:!.~.;!;;r.....~::..~.~~.~.~~.,::................................
Number...........~.~~}......... Street........:w..~...}.~.~....~::'..?:?.~~.................................................................................................... Floor........................................ Room................................................
Electric Service of Oshkosh
Contractor ...............................................................,..........................................................................Address ................................................................................................................................................
. )
I New ¡RePla.... I New Replace- New R:::~e. I New Replace.
ment r ment ment
Fixtures 2 Fan or Blower Outdoor Sign
Switches Unit Heaters Indoor Sign
Receptacles Furnace or Boiler Service
Circuits Range Air Conditioner
Garbage Disposal Water Heater Electric Heating'
Dish Washer Dryer Repai:r; Torn do Dama¡ e t service
Horse power 'an<l 'new ~'
Motors of each
Capacity
Transformers of each
Temporary Work Description I X~~~ ~~~~........................................................
Valuation of Work Described Herein Permit and Inspection Fee Received Remarks No. of Inspections and Dates
~EB 2' 3 l::rlS ..... Amount .:J,.~.~.O......
$...?:?.~.pg............................ ........... Date ....... I Final Inspection ............................ ...................
This permit authorizes only work applied for herein. Other work must be covered by additional permits.
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