HomeMy WebLinkAbout0004987-Electric (sign)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04987
TYPE: BLOG D HTG D ELEC ~D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
3 ~ (J Kd e/(-.e'--.
1- t!)... V'- d ~tt,rt '- J)~ u
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
lAJ {Y'-{J
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEAWNG CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
/Jt^r
ELECTRIC CONTRACTOR
,~>)( 0.
v--
~/ecT
Type ~ Volts.;l q()
AmpsUL q{) <
Electric Servo
New ~ D Temp D
Fixtures
Switches
Receptacles
Circuits
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
d ,.
6) t9 ~mit Fee Paid $
I
/ ;2~'J
?-/7-g7
Park Dedication $
Final/O.P. 7' - / ,7 - 2T7
ISSUED BY
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~-
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AGENT/OWNER
ADDRESS
TELEPHONE #
PERM!'l' NO. tJJ-.f9b7APPL. DATE ~;J-?,-g-7
:~C. CONTR. .,~~
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OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
SIGNS
INSP. RQUGHIN
EXT. COST
REMARKS
'l'EMP .
AMPS to
CIRC'S