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ELECTRICAL INSPECTION DIVISION - City of Oshkosh
PERMIT
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I Lot I Block I Addition I
CITY ELECTRICAL INSPECTOR Ward I Date 9-22-76 I
PERMIT TO DO ELECTRICAL WORK
N~
102
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Permit to install wires and apparatus as listed herewith in the premises of
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Occupied as.......,...............!Ñar.eho,u.se.,.......,...."".,...,...."""..................,....,.....,."...
Number"......."~~g""".",,. StreeL......."...:!~.~.~ê..'?~"..§.t~......."..."..........."......"........."..................."..............................". Floor......"......".........."............ Room"..............................................
Contractor ......~?.~.~:r:....J!;~.~~.~.::~.~."...".....,......"",...................."."..",......""""."..."..."..."Address ......".....,..."......"........"....."..."....".".........."....".........................."........................".."...".....
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New IRePlac,,¡ I New Replace. ' New Replace- I New Replace.
ment ment ment ment
Fixtures Fan or Blower Outdoor Sign
Switches Uuit Heaters Indoor Sign
Receptacles Furnace or Boiler Service
Circuits Range Air Conditioner
Garbage Disposal Water Heater I Electric Heating' -,
Dish Washer Dryer Qo",d no J1..
. Horse power
Motors of each
Capacity
Transformers of each
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Temporary Work Description
Valuation of Work Described Herein Permit and Inspection Fee Received Remarks No. of Inspections and Dates
NO\! 2:; 1975
$....3.QQ..~.QQ.........".........""......"......... Date ."......... .......... Amount .6....0..0...." Final Inspection ...."...................... ......."..........
This permit authorizes only work applied for l1erein. Other work must be covered by additional permits.
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Master EI~ctrician or other Authorized Person