HomeMy WebLinkAbout0021475-Electric
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
21475
TYPE: BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/7.::;/ P-/~
~~,
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~ ~/----- '
BUILDING CONTRACTOR
Size
. Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const,
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New []/Change D
Fixtures ~ Switches
Temp D Type?v
~ Receptacles ----
Circuits
~
Q--
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh ~DW _OF _San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
cP /11 ~. z:- ~
tP v Permit Fee Paid $ J tJ
Date // ~/ ~ -9?J
Park Dedication $
Final/O.P.
ISSUED BY
:~:A:~:~man~ursuant ro rules governing the described oonm:;1;?d_
ADDRESS
TELEPHONE #
PERMIT No.[211(7~- .APPL. DATE /0 ~29,9n
ELEC. CONTR. t'~~ ~~- .
OWNER ~ W y:- ~
e I / H<<-V1kr-s
ADDRESS I 7 t ~ .' ;;tt "..,y..,.(~.., - c,! n
NATURE OF-WORK -4L- -
ELEC. SERV. NEW X
DESC. TYPE - t.A- - v
FIX I S X SW' S
APPLIANCES
(j(
TEMP.
AMPS 00
CIRC'S ~
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
o c) d // PERMIT
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