HomeMy WebLinkAbout0046864-Electric (fixtures)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N~- - 46864
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ADDRESS /9 t.f L a-~- ,!if-
Y-6-7AA-?~ Pt1 ~f~~
PLAN NO.
OWNER
DESIGNER
USElNAT\lRE OF WORK ~. L eux~ ~'.a:.- ~
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BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR t!1.Arx-LA
Electric Servo New D Change D Temp D
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ f:::.r~() I)
ISSUED BY 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.
SIGNATURFf:...-~ C!<~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #