HomeMy WebLinkAbout0005943-Electric
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
05943
TYPE:
BLDG 0 HTG 0 ELEC B"'PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT-
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DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~ I
Electric Serv. New ~ange 0 Temp 0 Type Volt Amps /<
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PLUMBING CONTRACTOR
_BT
~Lav
_WH _Disp _WSoft _CBasin
_Sh _DW _DF - San. Sewer
_FDr _SP _Ur _Storm Sewer
_LTub _Eject _SS _Water
_WC
_Sink
Other
FEES: Valuation $
ISSUED BY
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v'O Permit Fee Paid $ L ¿J
Date I 0 ~;:¿ tJ -17
Park Dedication $
Final/O.p.~'i -t7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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NT/a DATE
ADDRESS
TE"EPHONE #
ELEC. CONTR.
,
OWNER
v
ADDRESS
NATURE OF WORK
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
"f-Cl
TEMP.
AMPS /ðJO
CIRC'S
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
SERVIC
PERMIT FEE
FIN - 1"- >'
DATE PDIP-2ð-1!
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