Loading...
HomeMy WebLinkAbout0005899-Electric (service change) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 05899 TYPE: BLDG 0 HTG 0 ELEC lfPLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER ;?zo ~~4:r: ~--13~ k:;-//!' . PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~7L _~--t-1/'"f";:-< BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Con st.. Height Occupancy Permit Foundation HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss. BTU'S ELECTRIC CONTRACTOR ~ ~~ . " Elect"c Se",. New 0 Cha e ~mp 0 Type.' VOlt,~. Amps ..u:-,,~. p/ '. Fixtures Switches Receptacles i--& FCI<.... Circuits "7 !!J-.-.L- ' PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _BT _ San. Sewer _WC _FDr _LTub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water '~ . c-' ~,/- Permit Fee Paid $ U CJ - . Park Dedication $ . ~ Date / CJ -- / ;?' -;? 7 Final/O.P. ~ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~..t~n . - AGENT/OWNER /tP~rp7 /' DA ADDRESS TELEPHONE # ELEC. CONTR. ADDRESS NATURE OF WORK ~~ OWNER TEMP. AMPS.?-dO eIRC'S SIGNS - INSP .];ROUGHIN ,~ERVl CE '1.f7' INAJ:;-' , EST. COST /#CJ($)~ PERMIT F~E S ('7~ATE PD.l&-/f'J REMARKS =.. - -------