HomeMy WebLinkAbout0024458-Electric (upgrade)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
24458
OWNER
DESIGNER
USE/NATURE OF WORK
:3 t?J ~~ /CJO
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
c t ELECTRIC CONTRACTOR ~ fflj;h~
~
New D Change D Temp D Type~f Volts~ Amps~
Switches Receptacles ~ Circuits K
':'
Fixtures
~
fl
Electric Servo
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
Permit Fee Paid $
Date
I
/6~'
7' <--;;:z. j' "7/ /
Park Dedication $
Final/O.P. ' , - ,)- l' /
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~1WN" 7 ~r~A ,
ADDRESS
TELEPHONE #
PERMIT NO.
.~ 4 Lf ;Tg' . APPL. DATE 7 -- /t- '1/
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ELE c. CONTR.
OWNER
ADDRESS
NATURE OF WORK
E EC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
- "-/
TEMP.
AMPS
CIRC ' S' Ol>
S I'GNS
INSP. ROUGH N
EST. COST (JOC:--
REMARKS
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