HomeMy WebLinkAbout0001923-Electric CITY OF OSHKOSH N2 01923
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- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC/ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a te/ ` — ' 722 ...
j PLAN NO.
OWNER i
DESIGNER
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USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /' Alliglill
Electric Serv. New [1 r] Temp I: Type,� Volts Amps e-
Fixtures Switches '<---- Receptacles 7 Circuits .--K Igr/C)
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
_WC — FDr SP Ur Storm Sewer
Sink _ LTub Eject SS _ Water
Other
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FEES: Valuation $-. ' Permit Fee Paid $ 0 .� —� Park Dedication $
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ISSUED B Date // 7.--g p (, Final /O.P. 2 -3o-K,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE �j
`��L /� G
. 111
DATE
ADDRESS
TELEPHONE #
PERMIT NO. 0 7 APPL. DAT 7'
ELEC. CONTR. _
OWNER ►
ADDRESS 44 — J
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP .
— .
DESC. T PE , 7 —v VOLTS /.2-5 AMPS /o G
FIX' SW'S RECEP741 CIRC'S
••PLIANCES /49
- 4.11111110,74/0
SIGNS �_ium
NSP. ROUGHING; ri f 1 r _ p.-g6
EST. COST A'00 PERMIT FEE .5 ° � —DATE PD -7-1(c
REMARKS
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