HomeMy WebLinkAbout0001982-Electric (service change)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01982
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ADDRESS.
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
"':
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ;;/J.-I-.s .c-kCh~
Electric Servo New D Change,$J Temp D Type:3 W Vo'tsl~ Amps ,Lt!..t2
Fixtures Switches Receptacles <:2- Circuits;:2--- CJ{J-. /'
PLUMBING CONTRACTOR
_WC
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ Eject
_ WSoft
_DF
_ CBasin
_BT
_Ur
_ San. Sewer
_ Storm Sewer
_ Water
_Lav
_Sink
Other
_SS
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P . F P'd $ ., dJ ~,
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Date// -/1-530
Park Dedication $
Final/O.P. / I - / I - <if 6
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ISSUED BY
SIGNATURE
orm all work pursuant to rules governing the described construction.
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AGENT/OWNER ' DATE
\DDRESS
TELEPHONE #
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OWNER
ADDRESS
NATURE OF WORK
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ELEC. SERV. TEMP.
DESC. TYPE . } -~ AMPS cJ 0
FIX'S CIRC'S
"APPLIANCES I, >.. ..... ...> .............. .... ..!
I~~~~ ROO<lllIN i. i.ii.. ........ .....i.i....i>i .SERV~~2FIN::(Pi~ I
EST. COST . J.? t7~. PERMIT FEE.::? 4~ATEPOI}-I{~B6
REMARKS ... i. h
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