HomeMy WebLinkAbout0047386-Electric (temporary service)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! - 47386
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PLAN NO.
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
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 Q~ ~ r:-C r
Electric Servo New 0 Change 0 Temp~ TJ!tL VO~tJ AmPS~
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_Disp
_OW
_SP
_ Eject
_ WSoft
_OF
_ CBasin
_WC
_FOr
_ L Tub
_Ur
_San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_SS
FEES: Valuation $ 7::;- eO <)
ISSUED BY ~.
/
Permit Fee Paid $ Ie;. c) 0 .f
Date~9/z1A)~
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. 'f73 p,
ELEC. CO~TR. ~#471"~~
OWNER g~;t..J ~~
ADDRESS 3Jt=> ~ ~
NATURE OF WO V
"
~C. SERV. NEW CHANGE
D C. TYPE f) IN- VOLTS 3
FIX'S SW'S RECEPT'S
APPLIANCES
. APPL. DATE
2---3/-$711';'
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AMPS b <?
CIRC'S
SI"GNS
INSP. ROUGH N SERVICE II {o> <;- FINAL
EST. COST PERMIT FEE () > "a DATE PD. {
REMARKS
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