HomeMy WebLinkAbout0021579-Electric (hot tub)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21579
TYPE:
BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
I;) 90
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1-1 tJ f10 i/
PI e...c...h e Yl
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
hD r7ub
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
f-/oehVl'€.
Electric Servo
New D Change D Temp D Type _ Volts _ Amps_
Switches L----- Receptacles L-- Circuits --
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Fixtures
PLUMBING CONTRACTOR
_BT _WH
_Lav _Sh
_WC _FOr
_Sink _ L Tub
Other
~
FEES: Valuation
ISSUED BY
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
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Permit Fee Paid $ ~ l/
Date // -Iv -9' 0
Park Dedication $
Final/O.P. 1/ --16 - 90
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ IkL
AGENT/OWNER
1/...; G -,90
DATE
ADDRESS
TELEPHONE #
PERMIT
...... \
. APPL. DATE Y --/ ,7......921
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1"1 y~ - 5f-~~
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CHANGE'
VOLTS
RECEPT'S
t><
TEMP .
AMPS
~...,...... CIRC'S~
" 'I
..~
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
S I'GN S
INSP. ROUGHIN
EST. COST
REMARKS
'J..5tJ~
SERVICE FINAL /1-/6.?tJ
PERMIT FEE ~ ~ ~ DATE PD/I-lb,rtJ
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