HomeMy WebLinkAbout0006537-Electric (jump platform)
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CITY .OF OSHKO.SH N2
PERMIT - APPLICATION AND RECORD
06537
TYPE: BLDG 0 HTG 0 ELEC T:(J PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS /10 g
OWNER L -:I L< ( K
DJI'-€j Or/!
Ko"1ls
.sT
PLAN NO.
DESIGNER
USE/N71'RE OF WORK :r lA .., f P Ie. i -4 r ""
R D. t./. Y' () C>;V1 r c j' T.
,
/'J' kt f s,t-,y,/C/
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
EL{:CTRIC CONTRACTOR M Y ~87'
Electric Servo New 0 Change 0 Temp 0 Type_
,;
"Fixtures e-- Switches c.- Receptacles L---
Volts _ Amps_
Circuits L
o/(l(
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
Other
FEES valua~ e-;.:" ;~ Pwd $ / ~
ISSUED BY . !fl1 Date /;7. -I ( -- g 7
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~~~r~
/ AGENT/OWNER
ADDRESS
1'2 Itl h7
DATE
TELEPHONE #
PERMITNO.6'~ ;)3 7 ')~=!jl.' DATE//~7.y-?:>,
::: CONTR. -01 crff;;dd
ADDRESS /9'5" y ~ rtJ~~
NATURE OF WORK &/
5 (&r f><-
cHANGE TEMP .
VOLTS AMPS
RECEPT.' S A'5J~? CIRC. s,.(
~
ELEC. SERVo
DE~C. ~E
FIX'S
APPLIANCES
}.fEW
SIGNS
INSP. ROUGHIN9#~/I- a 1-8 7 SERVICE .' FIN~.:,q
EST. COST ;?-OCP ~ PERMIT FEE 12 ~DATE POZz,.lI-l?f
REMARKS
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