Loading...
HomeMy WebLinkAbout0044404-Electric ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 61/ N! 44404 ~P_E: _ _ ~L~ _~ _ ~~ _ ~ _ ~~E?~~~B~ _ ~ _ ~'~~ _~ _ ~O_N~N~ _ _ _ _ _ _ ."~~D_ ~~'~ _ _ _ _ _ _ ~~'~~_ _ _ _ _ ADDRESS /9 Y.S t<I.~ ~. . PLAN NO. c:?dtdAJAd-,~ OWNER DESIGNER USE/NATURE OF WORK If~,~ BUILDING CONTRACTOR '/ Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC COmRACTO~(A~ Electric Servo New Change 0 Temp 0 Fixtures Switches Receptacles TypeL( / h VOlt~ u/ Amps ~ , Circuits PLUMBING CONTRACTOR _Lav _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _FOr _ L Tub _Disp _WC _Ur _San. Sewer _ Storm Sewer _Sink Other _ Eject _SS _ Water // ~- -!IV FEES: Valuation $ ..! 00 . 0 ~ Permit Fee Paid $ ,) f 0 ..:;) ISSUED B~ '--~ Date W~,h5/ I Park Dedication $ Final/O.P. ~.~ ~. 9'5 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # ELEC. SERVo DESC. TYPE FIX'S APPLIANCES tfi v~)3 . APPL. DATE 5&b '''-Lt 1.-:3 (PI'1 CHANGE VOLTS '3 RECEPT'S TEMP. AMPS z..& cJ CIRC'S ~~;;. . r ?I!/~ 1;'- Z~ ~ ~kct-- ~r>-~7~~ , ~ &/1 ~.~ . dtJ, ~d--" l~. . !ftft~ ~ t;ZF~ t;- S~)' .Q~. ~!IA tLd &u{/I-u,/c r#