HomeMy WebLinkAbout1992-Electric (ceiling fans/exit lights)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
31787
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ADDRESS 506 {j.)'iF.+~~ ItvL
OWNER_Dð1r. ~
USE/NATURE OF WORK ('.e.;~ ~~, Ex II
PLAN NO.
DESIGNER
O((~R
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms # Stories Height
Class of Const. Occupancy Permit
Heat Loss BTU'S
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
ELECTRIC CONTRACTOR
c 't/"-
'>".
Electric Servo New D Change D Temp D Type - Volts - Amps-
Fixtures < X- Switches X Receptacles ~ Circuits ~
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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
O,OD
M - 6\:¡ ../
Permit Fee Paid $ -
Date /.,)..~7---.?2-
Park Dedication $
Final/OP. /;J..- ~;2- -7;2-
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~<; £:; "ie/Lv- . /;2 - ;:;. -;2-
L AGENT/OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO.
ELEC. CONTR.
OWNER
ADDRESS
~NATURE OF WORK
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5ë () ",4/ ~ '/Jzš.
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,.-ELEC. SERV.
.2 DESC. TYPE
FIX'S
APPLIANCES
SIGNS
INSP. ROUGH N
EST. COST 'do
REMARKS
NEW
CHANGE
VOLTS
RECEPT'S
TEMP.
AMPS
CIRC'S
SW'S
FINAL '.2-.2- '7 /
DATE PD./? ",;1-9'.:z-
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