HomeMy WebLinkAbout0020289-Electric (repair service)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
20289
TYPE:
BLDG D HTG D ELEC ~LBG D SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS 1:2 4 4
OWNER }j tI VV'l/
I
DESIGNER
J! bit/'"' J1 ~ L/
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1(>lQtL c It:
AVL
PLAN NO.
USE/NATURE OF WORK R-el ~ l.e_
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Jfptll~e
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat 0 NC D Vent D Fuel/System
Heat Loss
BTU'S
Electric Servo
New D
1Q.
ELECTRIC CONTRACTOR
Fixtures
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
Permit Fee Paid $
Date
"1 P e---
r~7-~8
Park Dedication $
Final/O,P. I;J -;L7-~1
ISSUED BY
In the performance of this work I agree to perform
I work pursuant to rules governing the described construction.
SIGNATURE
t-7- eft?
DATE
ADDRESS
TELEPHONE #
.""-,. .....~u-"'l't.
, ..
PERMIT NO. :;J-O /-'79 ',APPL; ~TE/;2 -17- F9' =
~LEc. coNTR. /Jyz 61 ~~
~R ~~ ;
~~iS OF WORK I ~~?"~ ~
Et,EC. SERV. NEW . caANGE_ TEME. - ~
D SC. TYPE _ ty- dO VOLTS I"- '(J AM!1S /<,,0
FJ:X'S SW' 5 RECEP · S CJ:RC' S .
~PLIANCES
SIoGN
INSP. ROUGHIN
EST. COST S' $'6 ~
gEMABKS
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