HomeMy WebLinkAbout0001930-Electric
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
01930
~~:E~~ BCD; ~;: - C? ~:!!i::.- SIG~ _~ _ ZONIN~_ _ _ _ _ _ ~~OOD p~:~ ~~_ _ ~EI~HT - - - .
OWNER ~ ~~
DESIGNER
USE/NATURE OF WORK
~~
~~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
,eL---r. ~
Fixtures
New ~ Change 0 Temp 0 Type _ Volts _ Amps 2"~
Switches Receptacles Circuits ~
Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink '_LTub _ Eject _SS _ Water
Other
FEES: Valuation $ L? -eJ ' Permit Fee Paid $
a/
ISSUED BY - )/}rJ(f}~:7/~ Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~ ~ /~-r6
, . ~ IOWNER /' DATE
ADDRESS
,!)d
//~7-rp
7
V I
e --V
Park Dedication $
Final/O.P. / / ~~1. "'Xh
TELEPHONE #
'\H1,
ELEC. CONTR.
PERMIT NO.tP' /rr 3 0
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FI X' S k
APPLIANCES
pIGNS
INSP. ROUGHIN
EST. COST
REMARKS .
~<6bFINALI. .-2b$~
DATE PD .-i-tJ
..iJt:;;