HomeMy WebLinkAbout1993-Electric (upgrade)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
~ 1-/;2-
32920
~P.E~. .~L~~.~ .~T~.~. ~~E~)(~~B~.~. ~I~~.~ .~O.N~N~.~. :~~~D.~~I~~. ~~I~~T~
:,::~~ ~ u ~ A. c.
PLAN NO.
DESIGNER
USE/NATURE OF WORK IulívJ ,") <in) cz-
3ý1 - 4-w -/~/zi/o
,;(oOAfttlP.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Cons!.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~t:-~
Electric Servo New ~ Change D Temp D TYpe~
"'. Fixtures ~ Switches,:?( Receptacles Æ
VoltsljjtíOAmps .2..dð
Circuits X.
4J-----
"""PLUMBING CONTRACTOR
_BT
_Lav
_WH _Disp _WSoft - CBasin
-Sh _DW _DF - San. Sewer
_FDr _SP _Ur - Storm Sewer
_LTub - Eject -SS _Water
_WC
_Sink
Other
FEES: Valuation $
ISSUED BY
0.o"
Permit Fee Paid $ 6>5' ,0"0 I
Date? - ý' ~?" ~
Park Dedication $
Final/O.P. '2 - / -? :3
In the performance 0 this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
3-1-13
DATE
ADDRESS
TELEPHONE #
PERMIT NO.
ELEC. CONTR.
OWNER
~~~~iS OF WORK - :rt!'~+~
E\':. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW
-H-I.v-
SW'S
~~~~~ ROUGHIN SERVI~#/~ FINALl-t -'[2
EST. COST ~O oC'~ PERMIT ~d-r,ATE PD3-5'-9'3
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