HomeMy WebLinkAbout0019018-Electric (kitchen)
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TYPE:
BLDG D
CITY OF OSHKOSH
PERMIT- APPLICATION AND RECORD
HTG D ELEC ~G D SIGN D ZONING
N2 19018
FLOOD PLAIN
HEIGHT
ADDRESS
giLl /~14tIL,
;Q'fh '7J1~1t
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
I~
C~-d
~
Electric Servo
New D Change D Temp D Type _ Volts _ Amps_
~witches ;--- Receptacles i...-- Circuits ~.
fiJ--
Fixtures
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
/,-~
6 -:;;J -7' c:?
Park Dedication $
Final/O.P. tG -2/- ?L:>
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ /kk ~/dJI/2f)
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
~
OWNER
PERMIT-NO.
ELEC.
ADDRESS
NATURE OF WORK
ELEC~ SERVo NEW
DESC. TYPE
r.IX'S k
~PLIANCES
=
SI"GNS
INSP. ROUGHIN
EST. COST i-tJJ "
REMARKS
SW"S
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CHANGE
VOLTS
RECEPT'S
TEMP .
~~'S ~~
FINAL j ->1-11
- ~ DATE PO -21-9'~
_ 0 SERVICE
Irn ~ PERMIT FEE