Loading...
HomeMy WebLinkAbout0004804-Electric ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04804 ;~~:~~ "_LOG _D _ HT~_ E? - ELEG ~17~~~~ ~~_ _ ~~'GHT - - - - DESIGNER 4/~~~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ':" HEA TIN~~CONTRACTOR f ,. Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S __ '1, Temp 0 Type~ Volts I:J lJI/) Amps ^tJO Receptacles f>{' . Circuits .c>< J;iJ. ELECTRIC CONTRACTOR Electnc Servo of..ew j)(jhange ~ Fixtures Switches .~ 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 Permit Fee Paid $ I 3 t} CJ Date ~ -S- - F"7 Park Dedication $ Final/O.P. JI..~1,g7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ADDRESS--.J oct H '(',\(b~\> f"AQ.N\ Lf\l\.).f. # APPL~\O ~ ~ 13q-S\h~ TELEPHONE # SIGNATURE '1~w- lff\, ~..,..~ (L . AGENT/OWNER ~ OWNER PERMI1' NO. () ~ YtJ '-I APPL. DATE ? - // -~ ELEC. CONTR. .~~ #~~~ 197'/~ ~~, LA-./~ ~ CHANGE VOLTS I ~ RECEPT S 'l'~MP. AMPS ;;2..0c.- CIRC'S ADDRESS l-JATURE OF WORK ELEC. SERVo DESC. TYP ,FIX'S APPLIANCES SIGNS INSP. ROUGHIN EXT. COST ~ d 00 REMARKS PD iJ- I NEW -<-- ....u--_V SW'S CHANGE VOLTS .';2-e/ RECEPT' PERMIT NO. ELEC. CONTR. OWNER <'ADDRESS NA'FdRE OF WORK ~/~ SIGNS' I INSP. ROUGHI~k_ 'b -;2.'l-~7 SERVICE ' , .2iNAl(1~ EST. COST ~ {t!O o~. PERMIT. FEE /Yo ~E PD 'J5 '-871 REMARKS . . ,_ ~