Loading...
HomeMy WebLinkAbout0021478-Electric ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 21478 TYPE: BLDG 0 HTG 0 ELEC ~BG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N:ER~~ .~ . ~ . . . . . . . . . . . . . . . ~~~ ~~. . . . . . . . . . . , DESIGNER USE/NATURE OF WORK ~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New ~ange 0 Fixtures ~ Switches Temp 0 Type~ VOltsJ~r~ Amps~ t--. Receptacles c..-. Circuits~ ~ PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _Lav _WC _FDr _ LTub _Ur r _ Sink _ Eject _SS _ Water Other {tJ & &~ermit Fee Paid $ 5 CJ ~ Date // -/2- -?CJ Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~--?d'~ DATE SIGNATURE ADDRESS TELEPHONE # "11f7r PERMIT NO. ~ , APPL. DATE / tJ r d.... 9' '- yz) ::~ CONTR. ~~ 179r~Y<7-~ ;to (, CHANGE TEMP . VOLTS AMPS 2- 0 RECEP CIRC t S t><f ADDRESS NATURE OF WORK SIGNS INSP. ROUGHIN EST. COST ;2 ~~G_ REMARKS DATE PDII-t}-fj'o ELEC. SERVo DESC. TYPE FIX 'S C?'... APPLIANCES