HomeMy WebLinkAbout0010160-Electric (ceiling fans)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10160
TYPE: BLDG D HTG D ELEC 0" PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
I ~ / J-I,~t, /tye-
i-;Z-4( e:/ L e) 4PJ .p~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
C it; ',1M S
~... 1.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR
Heal D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR t:>6"^-J ts" G/.ec...J.".l"~
Electric Servo New D Change D Temp D Type_ Volts_ Amps_
Fixtures .........- Switches ----- Receptacles Circuits
rf),
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
ISSUED BY
/ 0 ~ ..vI
Permit Fee Paid $ .,;2---
Dat:Y--JI-6 r
Park Dedication $
Final/O.P. g- -) I - 7~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ L-
~
~- 1'1--61 y
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
OWNRR
ADDRESS
NATURE OF WORK
/'
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW GE
VOLTS
~ U/ ~RECEPT 'S
TEMP.
AMPS
CIRC'S ~ .
....
;
SIGNS
INSP. . ROUGHIN ~ . ':b='- SERVICE FINAL~-JI-18
EST. COST . L-t2 v . PERMIT FEE.t<.2~ATE PD.r ~JI ~n
REMARKS