HomeMy WebLinkAbout0025445-Electric (move meter)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
25445
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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ADDRESS
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PLAN NO.
OWNER
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
ELECTRIC COtffRACTOr{! > ~
Electric Serv. New D Change D Temp D
Heat Loss
BTU'S
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TYP~
r
VOI~ AmpsUt?'
Circuits
v
--
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR
_BT _WH _Disp
_Lav _Sh _OW
_WC _FOr _SP
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_Sink _ LTub _ Eject
OtRer
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
FEES: Valuation $
ISSUED BY
C7v. I
Permit Fee Paid $ / .(! ~ ,;
Date ? -'^-t7 -? /
F
Park Dedication $
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Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ ~ <y'-;J..c1- V
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
PERMITNO.;2.5"''f6 ,APPL. DATE P-/7......Y/
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ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE - ~ (,<--......
FIX'S SW'S
APPLIANCES
S I'GNS
INSP. ROUGHIN
EST. COST / ~
REMARKS '.
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CHANGE/X.. TEMP.
VOL'I'S I.). AMPS
RECEPT I CIRC I S