HomeMy WebLinkAbout0019900-Electric (furance)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19900
TYPE: BLDG 0 HTG 0 ELEC ~PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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Electric Servo
New D Change D Temp D
- Switches <"K
Receptacles
Type_ Volts_ Amps_
Circuits X
.
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Fixtures
r
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
.6D
Permit Fee Paid $
Date
ID_OD//
g-IY"-??7
Park Dedication $
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Final/O.P. t5- L V'
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
cA-a-<< ?' &=Lf.
{ AGENT/OWNER
Z-15 -70
DATE .
ADDRESS
TELEPHONE #
PERMIT NO.
. APPL. DATE
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7 I~ ; -
7- / 6-YD
ELEC. CONTR.
OWNER
M?~ESS
NATURE OF WORK
E~EC. SERVo NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
TEMP . -=
AMPS
CIRC'S
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
SERVICE
PERMIT FEE
FINAL -$-
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