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HomeMy WebLinkAbout0045166-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (pll N!! 45166 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ 1< ~~B~ ~ ~ _ ~I~~ _C? _ ~O~~N~_ _ __ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /73'0 #~ d~ ~~~/ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK )IUd ,~, BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. H~TING CONTRACTOR ~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ ~r ri(l;,.. Electric Servo New ~ Change 0 emp 0 TypeU Fixtures Switches Receptacles VOlt3.uJ Amp~ d Circuits PLUMBING CONTRACTOR _BT _WH _WC _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # ~ (f PERMIT NO. Lf~1 & c, . APPL. DATE ELEC. Cot~TR. (Z-'jy")/LA ~1/7/ OWNER I&w f!~ ADDi{ESS I 7 3 DflkV~4/ ~~f)/l ~E OF WORK !1-U.AJ ~ ' ' ELEC. SERV. NEW CHANGE DESC. TYPE VOLTS FIX'S SW'S RECEPT'S APPLIANCES . TEMP . AMPS CIRC'S SIGNS INSP. ROUGHIN (jr EST. COST ~o Q REMARKS SERVICE PERMIT FEE ::;-0 FINAL , L DATE PD. :>/l.-<d4,ll.'" PERMIT NO. . APPL. DATE ELEC. CONTR. O,(../'~ ~'ej;/z/ (/ OWNER }?,J4rA ADt'RESS . 17 .~ 0 IJu/rvti~ 1:!~~/ NATURE OF WORK ' ,~/c;:s/ Go I, ELEC. SERVo DESC. TYPE FIX'S APPLIANCES -" CHANGE VOLTS ./ RECEPT'S TEMP. AMPS -z.c:')p) eIRC'S v SIGNS INSP. ROUGHIN EST. COST REMARKS SERVICE PERMIT FEE " FINAI.;"1.. DATE PD. ^'\