HomeMy WebLinkAbout0014095-Electric (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14095
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
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PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECT~IC CONTRACTOR
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Circuits
~
~
New D Change D Temp D
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Receptacles
Type_ Volts_ Amps_
Electric Servo
Fixtures
Switches
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
ISSUED BY
Permit Fee Paid $
Date
"
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Park Dedication $
Final/O.P. ,t ,--;:l... 6- e?',
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE h?A,~ ~
AGENT/OWNER
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ADDRESS
TELEPHONE #
PERMIT NO.
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ELEC. CONTR.
OWNER
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CHANGE
VOLTS
RECEPT'S
~i
:=is OF WORK
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!LEC.' SERVe NEW
~C. TYPE
FIX'S
~PLIANCES
SI"GNS
INSP. ROUGHIN
EST. COST ...., -4J!; .::...:--.
REMARKS
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TEMP .
AMPS
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FINAL-~_~
DATE PO .[0 "':<(;.'0':1
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SW'S ~
SERVICE
PERMIT FEE
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