HomeMy WebLinkAbout1987-Electric (change service) CITY OF OSHKOSH N° 04648
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Mi' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS_ IS 'L.) .__\\ l Q'r — PLAN NO.
OWNER Cr)CS. A( �C'f^
DESIGNER
USE/NATURE OF WORK CtiTh 0 n e Se'!^v, ''e" B -- (�
`O `-G 3 - ‘OO
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING C DNTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change P. Temp 0 Type Volts Amps
/
�— Circuits 4
Fixtures Switches Receptacles �
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
FEES: Valuation $ .�—Permit Fee Paid $ . ,1) Park Dedication $
ISSUED BY Date 2 —21 — F 2 Final/O.P. P -6 ---V
7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -- J CA--Y—C4 DATE
I /7—k ) ZN"--1
A ENTiOWNER
ADDRESS TELEPHONE#
PERMIT NO. e "l 46/-ir . • 'PL. DATE `/ -7
ELEC. CONTR. c, / /�
OWNER 9)/i ✓4 _ dL
ADDRESS ,?/3 — azo
NATURE OF WORK
ELEC. SERV. NEWCHANGFy TEMP.
DESC. TYPE 3 l0 U' 3 -Q., VOLTS /, 'f 0 AMPS /
FIX' S SW'S RECEPT' S / CIRC'S '<
APPLIANCES 6�
SIGNS a =
INSP. ROUGHIN �� SERVI />/ l r '
FINAL,
EST. COST )71-- O PERMIT FEE 2J — DATE PD.7.-2i 7
REMARKS ->
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