HomeMy WebLinkAbout0022911-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22911
TYPE:
BLDG D HTG D ELEC a-PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/76 V ~t:.::- ~.
4~ ~- ~/.
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
~._~
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 CONTRACTOR
Electric Servo New ~ge D
Fixtures ~itches
z.--- Receptacles
Amps l!~
.(....-
Circuits
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
Permit Fee Paid $
Date
/
v
5cJ'~
f/-/~~ ~ /
Park Dedication $
Final/O.P. S / l-r /qj
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
TELEPHONE #
SIGNS
INSP. ROUGHI ~ <f -i-f -~ /
EST. COST /.5-CJCJ~
REMARKS
PERMIT NO.
ELEC.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
TEMP.
AMPS
CIRC'S
SERVICEl-vV. FINAL 5"-17. 1
PERMIT FEE .7rJ CJ <------DATE PD .Jf-/.:z-Cf(