HomeMy WebLinkAbout0010100-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10100
TYPE: BLDG 0 HTG 0 ELEC [J.--1S'LBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/c2J>O ~~ ~ .
.~/4~-
PLAN NO.
OWNER
DESIGNER
~~.I- _,
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons~.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
~LECTRIC CONTRACTOR l::::1c-?.., ;.
Electric Servo New ~nge 0 Temp 0
~ Switches j./
Fixtures
2-- 0.,...1
Type _ Volts _ Amps_
Receptacles v Circuits L--
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,.
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
ark Dedication $
Final/O.P. I D - J D- ~Y
ISSUED BY
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ AG''',QWN''
d.&~ ~"
DATE
ADDRESS
TELEPHONE #
v
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
/.... -~ ._~. - (t (:) to 0) .
o rp~~ APPL. DATE ?~.ft:::/-iTT
~~
/;2.%0 -N~ ~ir
f7/#.... .. ...
/ '
CHANGE TEMP.
VOLTS '/~. +d AMPS.zdD'
RECEPTi'S CI RC' S .
PERMIT NO.
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
SIGNS
INSP. ROUGHIN~
EST. COST
REMARKS