HomeMy WebLinkAbout1994-Electric (a/c)
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CITY OF OSHKOSH N~ - 41234
PERMIT - APPLICATION AND RECORD
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DESIGNER
/t.flf 3 ¿J. 3Æ-Þ
'Þ;4.pt-£"~,/~
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HÈATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
IIH --sf ~
,
aü~
Electric SeN.
New 0 Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
_SP _Ur - Storm Sewer
_Eject _SS _Water
_WC
_Sink
Other
_LTub
FEES: Valuation
Permit Fee Paid $ i <;;.0.0
Date lI/23Av
Park Dedication $
FinaIlO.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to ruies governing the described construction.
SIGNATURE
DATE
AGENT/OWNE"
ADDRESS
TELEPHONE.
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PERMIT NO. <f1""¿.3 V ,APPL. DATE J'h3/9 'f
ELEC. CONTR. ~~
.t
OWNER
ADDRESS / çt(j3 tJ. 3d
...NATURE OF WORK ~6¥
ELEC. SERVo NEW CHANGE
DESC. TYPE VOLTS
FIX'S SW'S RECEPT'S
APPLIANCES
TEMP.
AMPS
CIRC'S
SIGNS
INSP. ROUGHIN
EST. COST ":>3::"
REMARKS
"2.--
SERVICE
PERMIT FEE'I.s-.~c>
FINAL .4I<r
DATE PD.$ 2.1