The URL can be used to link to this page

Home My WebLink AboutElectric (temporary) /`'� CITY OF OSHKOSH N° 17515 ' PERMIT - APPLICATION AND RECORD . TYPE: BLDG ❑ HTG ❑ ELEC [� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � Cl��-J �<J l5 � 5 � PLAN NO. OWNER ! l l�'f Q°` i I� /�'Cf�L" �` DESIGNER USEiNATURE OF WORK ��vST/�� L r L.Ln/� �. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueliSystem Heat Loss BTU'S ELECTRIC CONTRACTOF G`^��--�'Q S C LZ� � � Electric Serv. New ❑ Change ❑ Temp � Type U�� Volts�� `��mps �= �� Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT _WH Disp _WSoft CBasin —Lav —Sh DW DF San. Sewer _WC _FDr SP Ur _Siorm Sewer —Sink LTub _Eject SS Water Other � d'• � FEES: Valuation $ �=-- Permit Fee Paid $ ��""� � C� Park Dedication $ 7 ISSUED BY / •�� ' �� /� Final/0.P. Z '��G� /� Date In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. �(� �/ SIGNATURE -��'� J�-L��'�' � �T l AGENT'OWNER 0 E ADDRESS TELEPHONE# � r PERMZT NO. ,,,I �J / � . APPL. DATE `� � �� , � � � ELEC. CONTR. �''�'L� -�`t'Zz = OWNER �� ADDRESS � � � �' Q - �� NATURE OF WORK EC SERV NEW CHANGE _ '�Mp• � DFSC TYPE ? - "- - �' VOLTS ( �-" � � AMPS � G FIX' S SW'S RECEPT' nC CIRC' S �C "pPLIANCES - SI�GNS `�`�'`w INSP ROUGHIN SERVIC /� 'S � - �-/ - `��'IN��-"��-`[ EST COST 'f�� % PERMIT FEE /fl "�' DATE PD.)-/9-9C' REMARKS