HomeMy WebLinkAbout0032018-Electric (bathroom remodel)
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CITY OF OSHKOSH N2 32018
PERMIT - APPLICATION AND RECORD
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
7/ to >>f r ~uJy-'
J(~ '8.t~ft-
USE/NATURE OF WORK ;j 1- t2-
(
PLAN NO.
ADDRESS
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
'l!
ELECTRIC CONTRACTOR ()~
tdtJul t::tc.L/~~
"'
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
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
r '
FEES: Valuation $ 7A!) 0 ' 0 0 Permit Fee Paid $ I 'S ~ 0 q
ISSUEDBY~~C Dale/l/tf/tf"l--
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -I~;;'e:~:';: ----.,--
/;./ /$/9il
'DATE
ADDRESS
TELEPHONE #
'.
gERMIT NO.
ELEC. CONTR.
;?-tf/ r .
DATE / ;Z -J )7-'p 2--
OWNER
ELEC. SERVo NEW
DESC. TYPE
FIX.S ~SW'S
APPLIANCES
7/~-~P~/
t:3~~Y{
CHANGE' TEMP .
VOLTS AMPS
V'--. RECEPT I S ~ CIRC I sk:.
r ADDRESS
NATURE OF WORK
SrGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST ;:J. t1 tJ .:::.;::::.-.. PERMIT FEE / 5 ~' DATE PD./"<> ~-f.2.
REMARKS