HomeMy WebLinkAbout1990-Electric (annual permit) CITY OF OSHKOSH N° 19226
n PERMIT - APPLICATION AND RECORD
TYPE: BL0G ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 3300 MEDALIST DR OSHKOSH PLAN NO.
OWNER_ SQt1ARE D CO
DESIGNER
USEiNATURE OF WORK OPEN PERMIT FOR ELECTRICAL MAINTENANCE
JUNE 30, 1990 THRU JUNE 30,1991
ALL NEW ELECTRICAL CONSTRUCTION TO BE PERFORMED BY ELECTRICAL CONTRACTOR
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 PLANT SUPERVISOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps r'���
� � r
Fixtures Switches Receptacles Circuits y
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 $ SSESSED IIALUATIOP�ermit Fee Paid $ 500.00 Park Dedication $
ISSUED el�',� � ///� Date JUNE 12, 1990 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction.
SIGNATURE
AGENT�OWNER DATE
ADDRESS
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