Loading...
HomeMy WebLinkAbout0043398-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p/V N~- - 43398 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _~ ~~B~. ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ . . _F~~~D_ ~~I~ _ _ _ _ _ . ~~I~~T_ _ . _ _ ADDRESS 19 ?- '1~~"-'" ~/f. aA~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ? , BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ...-//1 ~u JwD~~. Temp 0 Type _ Volts Amps _ ~ceptacles ---Circuits ---' Electric Servo Fixtures New 0 Change 0 ~tches PLUMBING CONTRACTOR _BT _WH _Sh _FDr _ L Tub _Disp _ WSoft _DF _ CBasin _Lav _DW _SP _Ur _ San. Sewer _ Storm Sewer _ Water _WC _Sink Other _ Eject __SS FEES: Valuation $ ISSUED BY 1/ Permit Fee Paid $ S- 0, c. o,j Date II~/f~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONI!: # ~ PERMIT NO. l(379O' . ELECo CONTRo 02 /~ 7Jtf- 3ro r . APPL 0 D~TE It/v:; /4 i/ ! ~~ "" OWNER ADDRESS /92-1 ~by\..t:~ NATURE OF WORK 1't.-t.L tJd- ELEC 0 SERV 0 NEW CHANGE DESC 0 TYPE VOLTS FIX'S SW'S RECEPT'S APPLIANCES TEMP 0 AMPS CIRe's S I"GNS INSP 0 ROUGHIN " &f <; EST 0 COST I~ 00 REMARKS 1'27~ ~,. ~ SERVICE v PERMIT FEE '5'a FINAL DATE PD.' " tjr