HomeMy WebLinkAbout0025546-Electric (gym lights)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
25546
TYPE:
BLDG 0 HTG 0 ELEC ~G 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS t.f qc; /Je~
OWNERY CJ~
PLAN NO.
DESIGNER
USE/NATURE OF WORK
+~
. -
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
ELECTRIC CONTRACTOR
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,
Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Fixtures L--- Switches ---. Receptacles -.- Circuits .--'
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PLUMBING CONTRACTOR
t _BT _ WSoft _ CBasin
_WH _Disp
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
/
~5..~
I~ -(-9"'/
,
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.
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SIGNATURE~~~ -
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AGENT/OWNER
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DATE
ADDRESS
TELEPHONE #
..
PERMIT NO. :2 ')? tf ~ . APP~TE 7-/7-.? /
:: CONTR. N~.t:fn~.
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NEW CHAN TEMP .
VOLTS AMPS
RECEPT'S CIRC'S
ADDRESS .
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S D<
APPLIANCES
SW'S
S I"GNS
INSP. ROUGHIN
EST. COST ~ b" t::POq,::;.-
REMARKS
SERVICE FINAL
PERMIT FEE 7f~ DATE PD ./1-/1/