HomeMy WebLinkAbout0046039-Electric (garage)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! 46039
~P_E: _ _ ~l~~ _~ _ ~~ _ ~ _ ~~~ X ~~":' _ ~ _ ~"~~ _~ _ ~O_NIN~ _ _ _ _ _ _ _~~D_ ~,":,"~ _ _ _ _ _ _ ~~"~~_ _ _ _ _
ADDRESS /tJ{)J /-1~~:7 cZ.<--L . PlAN NO.
OWNER ~ 4~
DESIGNl (
USE/NATURE OF WORK dLc.':1 ,#~A7<-
B~ILDING CONTRACTOR
Size
.. Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR m ~-
Electric Servo New ~ Cha"e D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
/
o ./'
FEES: Valuation $ 0 0 , (l ~ per~it Fee Paid $ 2.-00 0 o~ .,-
ISSUED BY ~~ Date 1'/3)J
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 #
. APPL. DATE
tR/a/qr
Cp/L-.
. ELEC. SERV. NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
SIGNS
NSP. ROUGH N
EST. COST 1:>
REMARKS
CHANGE .
VOLTS
RECEPT' S
TEMP .
AMPS
CIRC'S
SERVICE .
PERMIT FEE "U?
FINAL
DATE PD.
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