HomeMy WebLinkAbout0037353-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
to II
37353
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~ ¿;..¡
Electric Servo New ø-.- Change 0 Temp 0 Type4
Fixtures Switches 11~ ~
Volts :3 W Amps -LQS>
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
- CBasin
- San. Sewer
_Lav
_DF
_WC
_FDr
_LTub
_SP
_Ur
-Storm Sewer
_Water
_Sink
Other
_Eject
_SS
FEES: Valuation $ ;¡'--z.-o <> .0 Ð Permit Fee Paid $ /~ ?!:o~ /~:rk Dedication $
ISSUED BY ~ ~ Date /z/3c/n . Final/O.P. ?J/ fl-q¡ q/
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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Y AGENT/OWNER
ADDRESS
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/ DATE
TELEPHONE #
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PERMIT NO. 573.5':3 , APPL. DATE
ELEC. CO~TR. I:U.A?L~ ~
OWNER/~/AAJJ'1 ¡(/~ Ij J~
ADDRESS 30 I '" ~ Y---<-- It.A
< NATURE OF WORK /'1ÙA) ~
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SW'S
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RECEPT'S ' CIRC'S
E~EC SERVo
D SC: TYPE
FIX'S
APPLIANCES
NEW
IGNS
INSP. ROUGHIN ..... '" ~
EST. COST ""1-00 Do
REMARKS
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SERVICEf't. ¿ ,
PERMIT FEE .D
FIN
DATE PD.
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