HomeMy WebLinkAbout0010298-Electric (laundry receptacles)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10298
TYPE:
BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS I () 0 g
OWNER VL/ /1.
~ !~Yht
10~ kA4 '~b-
AI/~ .
PLAN NO.
DESIGNER
USEINATURE OF WORK [If{ l4,.., J L 7-
D Y (/ -e i/
I
r cLJ 7: -.5
I
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms-
# Stories
Height
, Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELEeTRIC CONTRACTOR.~ V C /ee. 7v/, Covf).
I
.
Fixtures
New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Switches Receptacles t:-- Circuits L
12-
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
Permit Fee Paid $ / -< C9Y Park Dedica'on $ . ~
Date Y -9 - gr-g- Final/O.P. 9' -7- % ~
ISSUED B
In the pertormanee ot this work 1 agree to pertonn all work pursuant to rules governing the described construction. / .
SIGNATUR~Y~/;::<-<' _ 9' A I If J!
<- AGENT/OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO.
- /1--)}7
ELEC. CONTR.
OWNER
ADDRESS / 0 0 ~+
~ATURE OF WORK
.El:':.EC. SERV. NEW
DESC. TYPE
FIX'S
APPLIANCES
CHANGE
VOLTS'
RECEPT'S
TEMP.
AMPS
~.. CIRC' S~
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
SERVICE
PERMIT FEE