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ELECTRICAL INSPECTION DIVISION - City of Oshkosh
PERMIT
~
PERMIT TO DO ELECTRICAL WORK
N~
1437
I Lot I Block I Addition I Ward I Date 3-15-78 I
CITY ELECTRICAL INSPECTOR
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Permit to install wires and apparatus as listed herewith in the premises of
....."J1r.~.,..".~;r.g.@.r.§.t..ß:t;.),].J;,?L"..."."".....""...".........................."..,,"~:~:~ Occupied as".."....~.t~.!!11.~....!:.~!!!.~.1Y.....~~~.~9:.~.!?;~..~........".............................
Number.......?')"?'"............. Street........~.:"..~.~.~"..i!:.Y..~.:......"................."......."......""""""""""""""""""""""""""""""""" Floor..............................."....... Room."................"...........................
Contractor .....~.e:.~~~....~~~.~.~.:.~.~............"...."."....."...."".................".....".."......."......"".Address """""""""""""""""""""""""""""""""'"""""""""""""""""""""""""""""""""""""'"
, New ¡a,:~f" I I New Replace. ' New Replace. New Replac..
ment ment '!lent
Fixtures , 2 Fan or Blower Outdoor Sign
Switches 1 Unit Heaters Indoor Sign
Receptacles 1 Furnace or Boiler Service
Circuits Range Air Conditioner
Garbage Disposal Water Heater Electric Heating'
Dish Washer Dryer
Horse power
Motors of each
Capacity
Transformers of each
-
Temporary Work I Description
Valuation of Work Described Herein
Permit and Inspection Fee Received
Remarks
I ~~:~ ~~t:~,
No. of Inspections and Dates
)
$,......5..0.00
..'"............................"...'
1 C'
J. )
Amount .J,.~,().9......
Final Inspection
Date
This permit authorizes only work applied for herein. Other work must be covered by additional permits.
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