HomeMy WebLinkAbout0000290-Electric (temporary service)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
00290
ADDRESS
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PLAN NO.
OWNER
DESIGNER
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USE/NATURE OF WORK
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
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ELECTRIC CONTRACTOR &~.......----.~ ~ ~
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Electric Servo New D Change D Temp~ Type].J,v
Fixtures Switches Receptacles
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VOI~ Amps~
1:<'
Circuits
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PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
Park Dedication $
Final/O.P. & ~;,;:z3 ~.;g-(;,
ISSUED BY
In the performance of this work I agree to perform all w rk pursuant to rules governing the described construction.
DATE
SIGNATURE
ADDRESS
TELEPHONE #
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OWNER
ADDRESS
\0. NATURE OF WORK
ELEC. SERVo
OESC. TYPE
FIX.S
APPLIANCES
SI'GNS
INSP. ROUGHIN
EST. COST
REMARKS
TEMP.
AMPS
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