HomeMy WebLinkAbout0019349-Electric (a/c)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
19349
TYPE: BLDG D HTG D ELEC ~LBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER
PLAN NO,
ADDRESS
DESIGNER
USE/NATURE OF WORK
It I c--
I
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 cS cz.c f-~
Fixtures
New D Change D Temp D Type _ Volts _ Amps_
Switches __~ Receptacles Circuits,K
~
Electric Serv,
Permit Fee Paid $
Date
)0. O"L)
7 --11-2~
Park Dedication $
7-// -?dfY
ISSUED BY.
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction,
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SIGNATURE
ADDRESS
TELEPHONE #
PERMIT NO.
ELEC. CONTR.
OWNER
CHANGE'
VOLTS
RECEPT' 's
TEMP .
AMPS
CIRC' S ~::
ELEC. SERV. NEW
DESC. TYPE
FIX'S SW 'S l?'----
APPLIANCES'
SI'GNS
NSP. ROUGH N
, EST. COST () CJ ----
REMARKS
-'
"
SERVICE '
PERMIT FEE
FINAL _ r_c~'
DATE PO :r~,~