HomeMy WebLinkAbout0014098-Electric (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14098
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
170f HiG~oY(j .
/Uot-k-
.
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
;r/c-
(
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Fou ndation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~---
~~~
Fixtures
New D Change D Temp D Type _ Voltq _ Amps_
Switches ..---- Receptacles Circuits <-------
1;p--
Electric Servo
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 ~ Peon" Fee Paid $
ISSUED BY ~~ Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r/
C@ Park Dedication $
~ ,- ;;Z&~- Z' Final/O.P. 6 - ;;;Zb -77'
. /
SIGNATURE
.~~--/ ~4
AGENT/OWNER
6''h~ /J?
/ DATE I
ADDRESS
TELEPHONE #
PERMIT NO. / J-/ u 7 r ., APPL. DATE b - / -39
ELEC. CONTR. k ~~ g~ ~
OWNER '. '7? ~.,
. ADDRESS /7 {/{- N~
. NATURE OF WORK ' t1I::- c- -
CHANGE
VOLTS'
P---R~CEPT I S
TEMP .
AMPS
CIRC'S<-
, ELEC. SERV. NEW
DESC. TYPE
FIX'S SW'S
. APPLIANCES
SERVICE FINAL
C>-o ~ PERMIT FEE I ~ DATE PD
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