HomeMy WebLinkAbout0038475-Electric
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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to 1/
38475
:"'P:~ . . ~L~~ .r:: . ~T~. 0 . ~:E? J< P:B~ . O. ~'~N .0 . ZO.N~N~. . . .. . . FL~~D. PLAIN. . . . . . ~EI~~. . . . .
::N::8 Z + (2L. PLAN NO.
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New ~ Change 0 Temp 0 TYP~W
Fixtures ~ Switches ~ Receptacles r---
Amps.2:Ltl..
Circuits /
,-.
FEES: Valuation $ c.jv 00 I 0.-0 Permit Fee Paid $
ISSUED BY ~ ~<-/~~ Date
f!- ~
Y.s:oo
3 fr~-/f~
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Park Dedication $
Final/O.P. l~ -:l3 ~ 0;. .j
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 #
, 719 ,. 'ft.>1.
PERMIT NO. 3f<f1 S . APPL. DATE
ELEC. CONTR. t)~ ~~
, OWNERj,p! .Z~ ~( . . .
. "ADDRESS ~~/r~ (7/'
NATURE OF WORK r:t ~ ~ ~
, I ~
CHANGE
VOLTS 1.-0
RECEPT'S
q/13hJ
EC. SERVo
D SC. TYPE
FIX'S
APPLIANCES
TEMP .
AMPS 'tA-o
CIRC'S
SI"GNS
INSP. ROUGHIN
EST. COST
REMARKS
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