HomeMy WebLinkAbout0046451-Electric (wire a/c)
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CITY OF OSHKOSH N~ 46451
PERMIT - APPLICATION AND RECORD
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_Disp
_DW
_WSoft
_DF
- CBasin
_WC
_SP
_Ur
- San. Sewer
- Storm Sewer
_Sink
Other
_LTub
- Eject
-SS
_Water
FEES: Valuation $ 7-0 (:> . D 0
ISSUED BY C¡'ìY--
/
Permit Fee Paid $ ('5;.6'" /
Date 7,h(/9')'
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENTIOWNER
DATE
ADDRESS
TELEPHONE.