HomeMy WebLinkAbout0035203-Electric
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35203
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N2
TYPE:
BLDG D HTG D ELEC ~G D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/tb't:fc; ~~ ~~
--~~ ~
PLAN NO.
ADDRESS
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
II
..
ELECTRIC CONTRACTOR
Electric Servo New ~nge D
~ Switches
.~O'
Temp D Type _ Volts _ Amps .~
t..--Receptacles I --cIrCuits ----
cfY
Fixtures
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
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Permit Fee Paid $
Date
/
S cY.:;!:-- v'
7-.;L1-lY
Park Dedication $
Final/O.P. /.1. ./S' .'13
ISSUED BY
SIGNATURE
rform all work pursuant to rules governing the described construction.
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DATE
ADDRESS
TELEPHONE #
;-'
ELEC.
PERMIT NO.
/'
OWNER
. ADDRESS
NATURE OF WORK
E EC. SERVo
DESC. TYP
FIX'S
APPLIANCES
SI"GNS
INSP. ROUGHIN
EST. COST
REMARKS