Loading...
HomeMy WebLinkAbout0032144-Electric (move service) ~ CITY OF OSHKOSH N~ 32144 PERMIT - APPLICATION AND RECORD ~p-"~ . . ~L~~ .~ . ~T~.l? E~E?ft ~~BG. O. Sl~~ .0 . ZON~N~. . . . . . F~~O ~~'~. . . . . . ~EIG~. . . . . ADDRESS Ie; 3 ,~ ~ CJ AJ;)_~ PLAN NO. &-U ~A~ I- OWNER DESIGNER USE/NATURE OF WORK ~ ~ ~1~ 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 ~~ ~ & ~.VM/ ..~ t~ Electric Servo New D ChangV""\ Temp D TYP~ vo~ Fixtures Switches Receptacles Circuits AmpsklJ eJ ~ If , PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _BT _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS Permit Fee Paid $ / 5~ Date /",;2-~;;2.~ -92- Park Dedication $ Final/O.P. // -,..;2- - ?-:> ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~ ~ )'2... -.2;}.. - )' ~ AGENT/OWNER DATE ADDRESS TELEPHONE # PERMIT NO. 1'3;2-./ t/ Y' . APPL. DATE // -I~ - ? 2- cq~ /~. ~ ~=S OF WORK Io/{J - ~~ / . ~~tftft-€- ~ NEW CHANGE.. .] ~ (.{.../' VOLTS I ~~ " tJ SW'S RECEPT'S ELEC. CONTR. OWNER ELEC. SERVe 'DESC. TYPE FIX'S APPLIANCES TEMP . AMPS / t!J C- :: CIRC'S SI'GNS INSP. ROUGH_N EST. COST .:t.dtJ o~ REMARKS SERVIC 'JI-/;:;>-j';z....FINAL '1~/.2-Y.~ PERMIT Ft'E /}- ~ DATE PO p"'~J~'P-