HomeMy WebLinkAbout0013531-Electric (remodel)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13531
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
--......... ---... --... --... ---... --.. --.......... --... --... ...-- --............-......-......... ---.. --.. -- --.. --.....
,
ADDRESS I $ I " 111 ~ C U /l.cl7
OWNER G. e It fr11: Po.
PLAN NO.
DESIGNER
USE/NATURE OF WORK
R e I'I't ~ eI--e I
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.,
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss.
BTU'S
ELECTRIC CONTRACTOR c> DUb !:c ~~ / ~ ch. I 'c:.._
Electrie Servo New D Change 0'lemp D Type_
Fixtures V Switches V Receptacles ~
Volts _ Amps_
Circuits L./
1;/J
I
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF ----,---- San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
~4h-e-
ISSUED BY
Permit Fee Paid $ / Pc :::.- ~ v"
Date S ~ 2--4.- -? 7'
Park Dedication $
Final/ORr - 2 .;2.. :.- ? 7'
,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~
KOVV\.. .
AGENT/OWNER
..1"-,~ 2- '2.. ... rt
DATE
ADDRESS
TELEPHONE #
OWNER
ADDRESS
NATURE OF WORK
TEMP.
AMPS
CIRC'S
SIGN
INSP . ROUGHIN a'
EST. COST
REMARKS
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