HomeMy WebLinkAbout0015510-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION "AND RECORD
15510
TYPE: BLDG D HTG D ELECX PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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\ L Wolff.
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OWNER
DESIGNER V
USE/NA TURE OF WORK / ~ 1 ~s.~, ;(00;4 (l1 P W>-wR.S./Y ?f-{jvv...,j7 8; vy U (CL
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
.
Electric Servo New ~Change D Temp D Type ~..tC- Volts ZJo Amps Zoc::J
Fixtures V Switches V" Receptacles V Circuits V"
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PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
I
Permit Fee Paid $ g c: DO v'
Date 9 --/.> - 79
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Park Dedication $
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Final/O.P......, v
ISSUED BY
In the performance of this work I agree to perform all work pursuan: io rules governing the described construction.
SIGNATURE
~Z~NT!~'
C/p,l/7
f fATE .
ADDRESS
TELEPHONE #
PERMIT NO.
DATE j7 -/7"" '- W
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
TEMP .
AMPS &(7
CIRC'S
SI'GNS
INSP. ROUGH N 0i - -
EST. COST ~C:~ .
REMARKS