HomeMy WebLinkAbout0018024-Electric (temporary) l
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CITY OF OSHKOSH a' N 18024
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ['LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 2!O . /4/'2V. . /
PLAN NO.
OWNER
DESIGNER
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USE /NATURE OF WORK Z -_ �/ `
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BUILDING CONTRACTOR ,1
Size Sq. Ft. # Rooms
# Stories Height
Foundation Class of Const. ' Occupancy Permit
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HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent
❑ Fuel /System Heat Loss BTU'S
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efy,„7,0 ems,
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp [9 - * **-- Type ii Volts , ' Amps e�
Fixtures Switches Receptacles Circuit
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PLUMBING CONTRACTOR I !
BT WH Disp WSoft CBasin
Lav 1 Sh DW DF San. Sewer
WC 4, FDr SP Ur Storm Sewer
Sink 1 LTub ' Eject SS Water
Other
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FEES: Valuation '" G�
��� Permit Fee Paid $ / h q Park Dedication $
ISSUED BY i "'LV..1.:�, %/ Date J C � ` `l 2 Final /O.P. ✓ -1 - 5 '7.e
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In the performance of this work I a. -e to perform all work pursuant to rules governing the described construction.
SIGNATURE ��� �' �� --7—e. AG' NT /OWNER I D ATE
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ADDRESS C 0 ,
TELEPHONE #
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PERMIT NO. / Y6 . APPL . DATE , -- /..3 - 7 ��
ELEC. CONTR.(' ' EZe7
OWNER / �2 a
ADDRESS 2 - 1 7ao - .#'11 " '
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE -w- vim/ VOLTS / 2 } '¥D AMPS 6
FIX'S SW'S RECEPT' P< CIRC'S D(
APPLIANCES V
SIGNS C �J)
INSP. ROUGHIN SERVICE 5-�
I q(F INAL 3 -/5 9O ,6
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EST. COST A' 0 PERMIT FEE /a �- DATE PD
REMARKS
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PERMIT NO . / 10�t , APPL . DATE 2 /- - 2 9 e 5
ELEC. CONTR.
OWNER
ADDRESS '721)-2
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE - w - vr" VOLTS // » '/D AMPS 6
FIX'S SW'S RECEPT'S Pc. CIRC'S
APPLIANCES
SIGNS 0-12
INSP. ROUGHIN a SERVICE %< 15 - INAL 7 , gC
EST. COST 'rd 0 PERMIT FEE /e DATE PD .9-47-90
REMARKS