HomeMy WebLinkAbout0044140-Electric
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N! 44140
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ADDRESS 3%lJ~. K~A. PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
t
HE~TING CONTRACTOR
Heat 0 AlC 0 Vent 0 FueVSystem
Heat Loss
BTU'S
ELECTRIC CONTRACTOR t/~-
Electric Servo New 0 Change 0 Temp 0
Type ~/tL VOlts5Q~mps 6ro
Fixtures
.......--- Switches
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Receptacles -
Circuits
..--
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 #
PERMIT NO. <<tV It.( d
ELEC. CONTR. .~
" .' I
=~{:~~~/;.~
NATURE OF' WORK I
. APPL.OAT:e
~/u /1 y-
~C. SERVo ~
_c. TYPE
FIX'S SW'S
APPLIANCES
CHANGE TEMP .
VOLTS 1"LtJ /-uf . J ?'vw AMPS '
RScttsT IS ' CIRC I S
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s" . O~
~40
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