HomeMy WebLinkAbout0034806-Electric (post light)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N!
~/~
34806
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS ~~fu
OWNER fi2
PLAN NO.
DESIGNER
USE/NATURE OF WORK t:J~
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
;~
.
e,,-IJ M )
.". Electric servV D Change D Temp D Type_ Volts_ Amps_
Fixtures Switches Receptacles ~ Circuits ~
c{;V
4'"
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
_ Eject
_SS
_ Water
Other
ISSUED BY
Permit Fee Paid $
Date
/1
/;-~
7-/ ~-9;J
Park Dedication $
Final/O.P. 7-/.2 -9')'
In th~eerformance of this rk I agree to perform all work pursuant to rules governing the described construction.
SIGN TURE ~ ?-/;/)..........9!.J
~. AGENT/OWNER DATE
ADDRESS
TELEPHONE #
ELEC. SERV. NEW
DESC. T~~
FIX'S __SW'S
APPLIANCES
G -j>CJ -,?y
PERMIT NO.
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
~
TEMP.
AMPS
CIRC'S ~
~
SI"GNS
INSP. ROUGHIN
EST. COST .f 0 ~.
REMARKS
SERVICE FINAL 7-)2-.9"
PERMIT FEE /, >- ~ DATE P~.7-1.2- '}