HomeMy WebLinkAbout0026522-Electric
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
26522
TYPE:
BLDG 0 HTG 0 ELEC ~ 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ! (:">>, P
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR /-!o~A YJ 'E...
", Electric Servo New 0 Change 0 Temp ~ Type ~ Volts~ Amps ~6
Fixtures
Switches
Receptacles
Circuits
Ji
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_ San. Sewer
_WC
_FOr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
ISSUED BY
Permit Fee Paid $
Date
/
~
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Park Dedication $
Final/O.P. / / ......~;z.-- ~/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU~ /~
AGENT/OWNER
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.
DATE
ADDRESS
TELEPHONE #
OWNER
CHANGE
VOLTS 70:>- o.ftJ
RECEPT I S X
V
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SERVICEOb<' f I' '.).J. - 11 FINAL l{-J.d-.. <--'1 r
PERMIT FEE ~O ~ DATE PD .12.'/, ~fl
TEMP .
AMPS
CIRC'S )C
PERMIT NO.",
ELEC. CONTR.
ADDRESS
NATPRE OF WORK
EC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
SI"GNS
INSP. ROUGHIN
EST. COST ? CJ 0,..9;---
REMARKS
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