HomeMy WebLinkAbout01924-Electric (remodeling)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01924
ADDRESS
PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
TYPE: BLDG D
- - - -./71 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
~~~~<
. PLAN NO.
OWNER
DESIGNER
~-~~
/
/
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~ ~
-<"~~
Electric Servo New D Change D Temp D Type _ Volts _ Amps_
Fixtures A' Switches A' Receptacles?( Circuits ~ (
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_ WSoft
_DF
_ CBasin
_WC
_FDr
_ L Tub
~DW
_SP
_Ur
_ San. Sewer
_ Storm Sewer
_Lav
_Sink
Other
_ Eject
_SS
_ Water
ISSUED BY
Permit Fee Paid $
Date
/
/~ ~./
//-7-~h
Park Dedication $
~ - ;2 - ?7
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~~.
/4-ft >
/ DATE
ADDRESS
TELEPHONE #
PERMIT NO.
(j) l'r~7
9- --/0 - ~
ELEC. CONTR.
OWNER
ADDRESS
',NATURE OF WORK
ELEC. SERVo NEW
. DESC. TYPE
FIX'S SW'S
APPLIAN ES
.. .
CHANGE
VOLTS
RECEPT' S e>4--
TEMP.
AMPS
CIRC'S
SIGNS
INSP. ROUGHIN6'2 - - CJ- SERVICE
EST. COST 7.5&.-- PERMIT FEE /..2-
REMARKS