The URL can be used to link to this page

Home My WebLink AboutElectric CITY OF OSHKOSH N° 26853 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�}' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��G'� /�'�'dAG.2ST �/2 , pLAN NO. OWNER �'r' � � ' DESIGNER USE/NATURE OF WORK �� "7'�'"�t4�1�z'�t �`�'�'`�� " F,SSQC.s.�9TE�/ c�cf.L�- BUILDING CONTRACTOR Size Sq. Ft. # Roams # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �� <<'�`C7'.��-' .L G • Electric Serv. New ❑ Change ❑ Temp ❑ Type Volis Amps �\ Fixtures u Switches k Receptacles � Circuits�— " y�.�.-� `-/ / PLUMBING CONTRACTOR —BT W H —Disp —WSofl —CBasin + Lav —Sh —DW —DF San. Sewer —WC —FDr —SP -Ur -Storm Sewer �Sink —LTub Eject —SS —Water Other FEES: Valuati $ Sa-�� Permit Fee Paid $ 8S� �� Park Dedication $ ISSUED BY 2�'�� Date /�� Final/0.P. �� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. 0 SIGNATURE � � l�o��9c� AGENtiOWNER DATE ADDRESS TELEPHONE# h'i i z 4 PERMIT NO. � � o } � . APPL. DATE ( � — / �( � ELEC. CONTR. � �� 2 << � I OWNER ADDRESS � �� - i /1�`z"L�� NATURE OF WORK /' i' /� � �y � L I/�_ ..f-G^�C=_Y_ FLEC SERV NEW CHANGE TEMP. DE�C_ TYPE VOLTS AMPS FIX' S �L SW' S �-'�- RECEPT' S CIRC' S- APPIIANCES � SIGNS INSP. ROUGHIN SERVICE FINAL '_-/ ``/ EST COST Z' i- PERMIT FEE �DATE PD. '� ' �2 REMARKS 'n �a -�� S``