HomeMy WebLinkAbout0044683-Electric (temporary service)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
(po f
N! 44683
~~E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ ~_ ~~B~ _ C? _ ~I~~ _~ _ ~O~~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ . _ _ _ . ~~I~~T. . . . .
ADDRESS
192- C; ~~~
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
17-eu ~
.
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
e ELECTRIC CONTRACTOR ~
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
..
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FOr
_ L Tub
_Disp
_DW
_SP
_ Eject
_ WSoft
_DF
_ CBasin
_Lav
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_SS
FEES: Valuation $
ISSUED BY
Per.!!'it Fee Paid $
Date
I
. j
~a..o
/~(P fl Jr-
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
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #