HomeMy WebLinkAbout0022910-Electric (temporary)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
22910
TYPE:
BLDG D HTG D ELEC ~LBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
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ADDRESS
PLAN NO.
OWNER
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
Electric Servo
New D Change D Temp [g--- Type1!u/ Volt 1~~tI Amps ~CJ
ELECTRIC CONTRACTOR
Fixtures
Switches
Receptacles
Circuits
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PLUMBING CONTRACTOR
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_ CBasin
_DF
_San. Sewer
_SS
_ Storm Sewer
_ Water
_Ur
ISSUED BY
Permit Fee Paid $
Date
)
/
I
!~ '"
/~~
J.f--/ 7-7 /
Park Dedication $
Final/O.P. 2 - J -F- Z' (
FEES: Valuation $
SIGNATURE
erform all work pursuant to rules governing the described construction.
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ADDRESS
TELEPHONE #
"") ~ 9/{) -0
PERMIT NO. ~ ,APP:l'-!. DATE ;2 -/) '-1'/
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. . . ,
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE ~Vv - V
FIX'S SW'S
APPLIANCES
CHANGE
VOLTS t
E<ECEPT'S
TEMP.
AMPS
CIRC'S
SIGNS
INSP. ROUGHIN
EST. COST Fo~
REMARKS
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SERVICEt'P-;2. -1)'-7/ FINAL 2 -ry-9' f
PERMIT FEE 1'0 0"'::;-- DATE PD .eI-/.2.- r(
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