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ELECTRICAL INSPECTION DIVISION - City of Oshkosh
PERMIT
~
PERMIT TO DO ELECTRICAL WORK
N?
2:~28
I Lot I Block I Addition I Ward I Date l? 11; I 7 R I
CITY ELECTRICAL INSPECTOR
Permit to install wires and apparatus as listed herewith in the premises of
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Occupied 8S...............................................................................................""""""""""""'"
Number......~.?~.................. Street.............~:::~.~.?!.~~................................................................................................................... Floor........................................ Boon...............................................
Reil Elec.
Contractor ..........................................................................................................................................Address ................................................................................................................................................
/
I New RePlace- I I New Replace. New Replace. I New Replace-
ment i ment ment ment
Fixtures Ix I Fan or Blower Outdoor Sign
Switches y Unit Heaters Indoor Sign
Receptacles X Furnace or Boiler Service
Circuits I 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 I I ~~~~ ~~t~~.........................................................
Valuation of Work Described Herein fermit and Inspection Fee Received Remarks No. of Inspections and Dates
OEC 2 q ~11\
$... ...6..0...0..0. ..... Date Amount$l.w':W"", Final Inspection ................".......... ...................
Temporary Work
iDesc
.U
I Date
This permit authorizes only work applied for herein. Other work must be covered by additional permits.
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Master Elçctrician or other Authorized Person