HomeMy WebLinkAbout0000759-Electric (temporary)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
00759
OWNER
DESIGNER
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USE/NATURE OF WORK
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7 - /7-- :?6
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
,# Stories
Class of Const.
Height
Occupancy Permit
.is
Foundation
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
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ELECTRIC CONTRACTOR y"SoK.) ~C-CT~":;: 2.;V <:!.,....
Electric Servo New 0 Change 0 Tem~ Type~Vol/..;z., 'i.t-tJ
Fixtures Switches Receptacles ~Circuits
Amps (; tl .
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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
."~
::Eus~::~au~~
Permit Fee Paid $
Date
~~.,>/
g-'f~36
Park Dedication $
Final/O.P. '/--/7 - Y.6
" I,'j.
In the performance of this work I agree to perform all work pursuant to rules govE]lrning the described construction.
SIGNATURE
4a~d
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
;
r
PERMIT NO.
t/
ELEC. CON1'l<.
OWNER
ADDRESS
NATURE or WOl<J{
ELEC. Sgl<V. ~EW
DESC. TYPE ~
FIX'S
APPLIANCES
;"1
SIGNS
!NSP. ROUGH!N
EST. COST ~
REMARKS
CHANGE
LTS i ~(j
RECEPT'S
TEMP.
AMPS
eIRC'S