Loading...
HomeMy WebLinkAbout1989-Electric (service change) CITY OF OSHKOSH N4 12312 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - /- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /�I S �i �"�jt��Y'� PLAN NO. ADDRESS —/ /� OWNER !' /'-N'J ��vFJ/Jn����y_ DESIGNER USE/NATURE OF WORK �.3 '������� � �` � ��� � � � �� �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATWG CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fue ystem Heat Loss BTU'S ELECTRIC CONTRACTOR � � % � � � Electric werv. New ❑ Change � Temp ❑ Typ� Volts � 'Amps UG � � Fixtures Switches Receptacles Circuits G��✓,�/ / rU PLUMBING CONTRACTOR _BT _yyH _Disp —N1Soft —CBasin _Lav —Sh —DW —DF —San. Sewer _yy� _FDr —SP —Ur —Storm Sewer _Sink —LTub —Eject —SS —Water Other FEES: Valuation $ � D o Permit Fee Paid $ � // p Park Dedication $ ISSUED BY � ���'L'� Date � — � � a � Final/O.P.1 — �" �-;� � In the pertormance o�thi ork I agree to perform all work pursuant to rules governing the described construction. / ;��,� /� -� cl SIGNATUFE / �" — DATE � � AGENTrOWNER ADDRESS TELEPHONE k � - PERMIT NO. . APPL. DATE ELEC. CONTR. ��/�/� C.C�G� r ��L--f� OWNER ,�2�-2� . , �C -_.—���� o �:� ADDRESS � NATURE OF WORK ELEC. SERV. NEW CH IGE TEMP. DESC. TYPE _ Cr � i � K.� VOLTS � ` � �a AMPS �Dc� FIX' S SW' S RECEPT CIRC'S APPLIANCES v% � i ,' l SIGNS � �-�c c 7 INSP. ROUGHIN SERVICE - iB -{ ' FINAL , �''S�i EST. COST S �' � PERMIT FEE 37`� DATE PD..2 -�-BF'1 REMARKS �