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ELECTRICAL INSPECTION DIVISION - City of Oshkosh
PERMIT
~- PERMIT TO DO ELECTRICAL WORK N~
I Lot I Block I Addition I Ward I Date 1-2:\.-77 I
CITY ELECTRICAL INSPECTOR
932
Permit to install wires and apparatus as listed herewith in the premises of
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Oooupied as..........9.9..~.~~.~cia1
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Number............?~.?.......... Street.........I~~.r..~.~~......................................................"""""""""""""""""""""""""""""""""" Floor........................................ Room................................................
Contractor ..........4;r;::\:.,'..?...?.lfiJ..ÇJr..tç....................................................................................Address .....................................................................................................""""""""""""""""""""'"
N.w IRePlac.. I I New Replac.. New Replac.. New Replace.
ment mcnt ment mcnt
' X
Fixtures Fan or Blower Outdoor Sign
Switches X Unit Heaters Indoor Sign
Receptacles X Furnace or Boiler Service
Circuits X Range Air Conditioner
Garbage Disposal Water Heater Electric Heating'
Dish Washer Dryer
Horse power
Motors of each
Transformers Capacity
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
$....!:1:.99.!.Qg......................................... SEP 2 1 1977 8 00 Final Inspection ................."......... ...................
Date ........................ Amount .........~.. ......
This peruút authorizes only work applied for herein. Other work must be covered by additional peruúls.
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Ma~çctnclan or other AuthorIzed Person Ei¡;¡;¡r¡eaï"f iiëe~.ð.~~..............