HomeMy WebLinkAbout0000298-Electric
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
00298
TYPE: BLDG D HTG D ELEC A PLBG D SIGN D ZONING
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FLOOD PLAIN
HEIGHT
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New<< Change D Temp D TYP~? -It/'
Fixtures c>z.. Switches C><"" . Receptacles '*--
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Volts {;;2. ,..; tJAmps ,;l tJ CJ
Circuits ~
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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
ISSUED BY
Permit Fee Paid $ 75. 00 /~
Date h--~7-~0
Park Dedication $
Final/O.P. J 0 .--0'- y C:.
In the performance of this work I agree to perform all w k pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #
. -"\
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX I Sex:..,
APPLIANCES
NEW
." 3 -
SW'S
TEMP.
AMP S ?- /PC-
CIRC 'S I)('"
pIGNS
INSP. ROUGHI
EST. COST
REMARKS