HomeMy WebLinkAbout0020735-Electric (service upgrade)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
20735
TYPE: BLDG D HTG D ELEC ~G D SIGN D ZONING
FLOOD PLAIN
HEIGHT
~~~~E~~ - i- i;; - - - Ii ~ - j ~ ~~ - - - ; 7< - - - - - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - -
OWNER l2 { (: L 4. i-- d L"J I fft-vt n PI F1
DESIGNER
USE/NATURE OF WORK
S-eVI/I C~
utJ
l
jc~-b
;A --;}t?;Tj: ) -rc?O
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ./'1 Y
F /-e c '11//~:
,
( orfJ.
p
Electric Servo New D Change lB""1"emp D Type_ Volts_ Amps /00
Fixtures Switches Receptacles Circuits L--
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _San. Sewer
., _WC _FOr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
C5ther
/
Permit Fee Paid $ S- CJ ~"
Date / ~ -Y'-7C:::>
Park Dedication $
Final/O.P. / t!J -7' - 9'0
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C./lir_I/O-1A~~ /0--'1-'10
! AGENT/OWNER DATE
ADDRESS
TELEPHONE #
OWNER
No.-;20 7j~, zz;!; 7-t-Zc
CONTR. 1n ~ u-to-
{~W~~
:330 -fl~
PERMIT
ELEC.
ADDRESS
NATURE OF WORK
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
CHANGEK'
-- Iv VOLTS t~ '1 ()
RECEPT I S )<
TEMP.
AMPS 6> 0
CIRC'S
S I'GN S
INSP. ROUGEI~
EST. COST tfl ~
REMARKS
- :<O-7tJ
'tf-f'1'P