HomeMy WebLinkAbout0013876-Electric (temporary)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
13876
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
(10 ') '1/-<<~
~ .
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~
~~~7~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
'"Heat D AlC D Vent D Fuel/System
I
Heat Loss
BTU'S
-
Tem~ Type..;rtv
Receptacles
Amps~
~
ELECTRIC CONTRACTOR
Electric Servo New ~ Change D
Fixtures Switches
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $
ISSUED BY
Permit Fee Paid $
Date
I
/tl~1
6-16 -~i
Park Dedication $
Final/O.P. If '-16/ .-- 3"7 /
In the pertormanee ~erlO~ all :ursuant to rules goyemlng the described construction.
SIGNATURE~" ~/ 1:;/6 '7
ADDRESS
TELEPHONE #
PERMIT NO.
If -( ~ '-Tr
~LEC. CONTR.
OWNER
CJ-rV! G~ '
,/,90 S ~ N~~j
ADDRESS
NATURE OF WORK
SIGNS
INSP. ROUGHIN
EST. COST PERMIT
REMARKS
ELEC. SERVo N W
DESC. TYPE -~
FIX'S
APPLIANCES