HomeMy WebLinkAbout0021477-Electric (temporary)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21477
TYPE:
BLDG D HTG D~ ELEC ~LBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
::N:ER~ - -~~~ - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - -
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
.# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~ / /;7-;. ';{cJ tJ
Temp ~ Type~ ~olts r Amps_
Receptacles ex:. Circuits t><'
"
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Electric Servo
New D Change D
Switches
Fixtures
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub ~ Eject _SS _ Water
~ Other
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Permit Fee Paid $ / tl
Date//-/2 '-YCl
Park Dedication $
Final/O.P. / / - / c:J .- ?O
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ -r,h:;d'
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
nJ'-f7/
dlf:I , APPL. DATE <? - 7 -90
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/7?y- u/~~:~
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PERMIT NO.
ELEC. CONTR.
OWNER
S I"GNS
INSP. ROUGHIN
EST. COST ~
REMARKS
TEMP.
AMPS ~
CIRC'S t{'
ELEC. SERVo NEW
DESC. TYPE ....... (...(.../
FIX'S SW'S
APPLIANCES