HomeMy WebLinkAbout0013034-Electric (a/c)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13034
TYPE:
BLDG D HTG D ELEClq PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
Mif:~
/
1<62.0 Or~J
CSJ2S~
~~.
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
A /c_
" .
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR S~ ~
Fixtures
New D Change D Temp D Type - Volts - Amps - 1~
Sw;tches Receptacles C;rcu;!s"'---,;- ~ (
Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eje"ct _SS _ Water
Other
Permit Fee Paid $ t'" t:? V'...
Date J? - ;/-. r - zr 9'
,
Park Dedication $
Final/O.P. '1-;?-- if - 79
r
ISSUED B
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ SeL~
.
AGENT/OWNER
,~7/
ATE
ADDRESS
TELEPHONE #
ELEC. CONTR.
7~1/~ ~1'
PERMIT NO
OWNER
?/JAb ~ .
/ r;;2-(J--~~
? 4-./(-
CHANGE
~LTS..
CEPT'S
TEMP.
AMPS
CIRe' S~
ADDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE
FIX~S SW'S
APPLIANCES
SIGNS
INSP. ROUGHIN ;;c SERVICE FINAL 1f~'l'1
EST. COST /L9&-=~ PERMIT FEE/.-:9~ DATE PDfI-;25-t"f
HE MARKS - .