HomeMy WebLinkAbout0027875-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27875
TYPE: BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
A
Fixtures
New rn-t:hange D
~witches
c.-~ptacles
~cuits
~
ELECTRIC CONTRACTOR
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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
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cPO Permit Fee Paid $
t Date
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Park Dedic,ati~ A
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Final/O.p.) ~ ~
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ISSUED BY
In the performance of this work I a ree to perform all work pursuant to rules governing the described construction.
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/ DATE
SIGNATURE
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
:270-75
PERMIT NO.
ELEC. CONTR.
OWNER
;
SrGNS
INSP. ROUGHIN'
EST. COST
REMARKS