HomeMy WebLinkAbout0035945-Electric (service change)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35945
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ADDRESS I r &( UhA- . PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
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;.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~A.../
Electric Servo New D Change~ Temp D Type..!!!tt- Volts ;,vJ Amps ~
Fixtures Switches Receptacles ~ Circuits
PLUMBING CONTRACTOR
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_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _San. Sewer
_WC _FOr _SP ~Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
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Permit Fee Paid $ 1-S-,oO I
ISSUED BY Date 1/I11cf3 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~' ~~~';)
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DATE
ADDRESS
TELEPHONE #
S'I"GNS
'INS? ROUGH'IN
EST. COST
pMAR~S
. DATE
~- ?--Y
PERM]:T NO.
ELEC. CONTR.
O~ER
A);lDRESS ~ 1'1
.$ NATURE OF WORK
TEMl?
AMeS ~
C'IRC'S
,-"'-
E'LEC. SERV.
DESC. TypE
F'IX-' S
~PL'I~CES
~-
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