HomeMy WebLinkAbout0026677-Electric
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
26677
TYPE: BLOG 0 HTG 0 ELECJg( PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
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DESIGNER
USE/NATURE OF WORK
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L./../ A/l Y
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooll1s
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR L \ S ~ \'oJ ( i ~C.-tn.'1 (, ...A'" N G -
Electric Serv", NewfJ2( Change D Temp D TYPeYV
Fixtures ~_ Switches X. Receptacles K
I> 00
Volts. ' 0 Amps ~
A
Circuits
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
I
/ ~A~ V
Permit Fee Paid $ (;/
Date /,;2 -J 3 -7' /
ISSUED B
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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" . AGE faWNER
J ~- 13 - 9 1
DATE
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
-.;2-;:2-
PERMIT NO.
ELEC. CONTR.
OWNER
TEMP .
AMP S7 C'
CIRC'S