HomeMy WebLinkAbout0043633-Electric (cable)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
63p
N~- - 43633
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ADDRESS I D 0 ( I~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~/~ <~Z a~
BUILDING CONTRACTOR
Size Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
e
ELE~TRIC CONTRACTOR f!i(.fI ~.
Electric Servo New 0 Change~Temp 0 Type~ VOlt~W AmpLjJ
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation
I
Permit Fee Paid $ ~. ft) ~ J.
v ~ Date 1;319 If jr-
Park Dedication $
Final/O.P.
ISSUED BY
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 If
{p5r
~RMIT NO. lf7~.3?
~EC. CONTR. I? " '~..L-
owNER
-
.-: AEPL. DATE
-
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ELEC. SERV. NEW
DESC. TYPE
FIX'S
~ptIANCES
~~c '
VOLTS "3 ~
RECE:PT I S
ADOO,ESS 0 0 (
____~..P'
NATURE OF WORI<
SIGNS
INSP. ROUGH~
EST. fST 'bD 0
BEMABI<S