HomeMy WebLinkAbout0008144-Electric (bathroom remodel)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
08144
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ADDRESS I ~ /0 . /1 L (l(~,- y J.../
OWNER L () l,..J -r I ( G'-e v' rrl (2 r I
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PLAN NO.
DESIGNER
USE/NATURE OF WORK
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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 A Y E Ie Co 1P t 't.~
C&;" J:)
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Electric Servo New D Change D Temp D Type - Volts - Amps - 9X2
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F;x1eres Switches Receptacles Circe" ,
PLUMBING CONTRACTOR
_Sink
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_WH
_Sh
_ San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
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Other
Permit Fee Paid $
Date
,
.;:</J ~.jP k D d' . $
. ar e Icatlon
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ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURF?~~~ /LH"-
AGENTIOWNtr-
ADDRESS
S--Io~gg
DATE
TELEPHONE #
ADDRESS
NATURE OF WORK
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PERMIT NO .{'Y
ELEC. CONTR.
OWNER
ELEC. SERVo NEW
DESC. TYPE
FIX~S ~SW'S
APPLIANCES r
K
-
~~
SIGNS ~
INSP. ROUGHIN c- . SERVICI!: FINALS ::;r;:$
EST. COST. :'? S-~~ PERMIT FEE~~DATE PDS-/6-~
REMARKS
CHANGE
VOLTS '
RECEPT'S
TEMP.
AMPS
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