HomeMy WebLinkAbout0015924-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15924
TYPE:
BLDG D HTG D ELEC.Q{1 PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
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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 ~T~~ .fi'~dr/ (.
New 0 Change 0 TempU TYP.;u^,VOI~ Amps /IJl<J
Switches Receptacles Circuits f\
Fixtures
?Q.
Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP . _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
ISSUED BY
Park Dedication $
Final/O.P. 9' --/7-%9'
r
perform all work pursuant to rules governing the described construction.
SIGNATURE
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ADDR~
~-/7~
DATE /
TELEPHONE #
OWNER
)?-/ /i'-g;
PERMIT' NO. I
"
ELEC. CONTR.
ADDRESS
NATURE OF WORK
EC. SERVo
DE C. TYPE
FIX'S
APPLIANCES
SIGNS
NSP. ROUGH N
EST. COST
REMARKS
.CHANGE
1 VOLTS
RECEPTY5
V.
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