HomeMy WebLinkAbout0046230-Electric (a/c)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!! 46230
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PLAN NO.
ADDRESS
OWNER
DESIGNER
USEiNATURE OF WORK. t2~- ~
~
BUILDING CONTRACTOR
Size
"Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
,I
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR t3 ~
Electric Servo New 0 Change 0 Temp 0
Fixtures
Type
~
Volts
Amps_
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Disp
_OW
-SP
- WSoft
_OF
- CBasin
_Lav
_Sh
_FOr
_ L Tub
_Ur
- San. Sewer
- Storm Sewer
- Water
_WC
_Sink
Other
- Eject
_SS
,.--c
FEES: Valuation $ / J tJ pC) 0
ISSUED BY ~--;/t:-
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Permit Fee Paid $ /...J r
Date 7~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 #
(p (i--
PERMIT NO. "lflo'L S.O
ELEC. CONTR. t(3 t<
OWNER W~-J /,;Cj
ADDRESS / 1/7 ~ d:/-<.-
NATURE OF WORK I ~ ~
. APPL. DATE
ELEC. SERVo NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
CHANGE
VOLTS
RECEPT I S
TEMP.
AMPS
CIRC'S
SI'GNS
INSP. ROUGHIN
EST. COST
REMARKS
SERVICE
PERMIT FEE
FINAL
DATE PD.