HomeMy WebLinkAbout0039635-Electric (wire addition)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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39635
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ADDRESS
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
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~-1..
c
Electric Servo New D Change D
Fixtures ~. Switches
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Temp D Type_ Volts_ Amps_
---- Receptacles ~. Circuits .......---
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
ISSUED BY
Permit Fee Paid $
Date
/
/0. C) C) l
~41/1 r
Park Dedication $
Final/O.P.
FEES: Valuation
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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~ { AGENT/OWNER DATE
SIGNATURE
ADDRESS
TELEPHONE #