HomeMy WebLinkAbout0001913-Electric (service change)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
.01913
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DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. F\.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons\.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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New D Change [B-'îemp D Type / Volts íf Amps ~ .
Switches Receptacles Circuits ¥
Eiectric Servo
Fixtures
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
_Lav
- San. Sewer
_WC
_FDr
_LTub
_SP
_Ur
- Storm Sewer
_Water
_Sink
Other
_Eject
_SS
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ISSUED BY ~~ Date//- 7-21?
Park Dedication $
Finai/a.P. //- 3 -?L:
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
DATE
ADDRESS
TELEPHONE #
PERMIT NO. Ò
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW
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( ~:' cry-e4 ~ V/P:
CHANGE TEMP .
VOLTS AMPS
RECEPT'S CIRC'S
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SERVI CE -1- - g ~ . FINAL /I-'!J.-1¡'
PERMIT FEE/'z -- DATE PD./t-;T-'Zb
SW'S
SIGNS
INSP. ROUGHIN ð C
EST. CO S T ;¿ é' Ô ..:::....--
REMARKS
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