HomeMy WebLinkAbout0029525-Electric (temporary)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
29525
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
~~~~E~~ -ij;--; - - - ~~~; - - -
~C;lA-/lo
OWNER
DESIGNER
~
4~;:J C~~?~
, I
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
#>
ELECTRIC CONTRACTOR
Electric Servo New.Change D
Fixtures Switches
SCC&
/ ;/ C-c
Temp ~ Type !J4
Receptacles
126 I , / ~
Volts ~'P Amps.f....L..J..L
Circuits
~
r
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
Permit Fee Paid $
Date
/
/O~v'
t -7tJ -/;/.
Park Dedication $
C- ~2&, -Y.. ?
Final/O.P. L ~
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
//./ ;,/~"- a1-~
SIGNATURE rtl"'l
AGENT/OWNER
~40~
DATE /
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
,- Ct../'
PERMIT NO.
ELEC. CONTR. r-
OWNER
SI"GNS
INSP. ROUGHIN
EST. COST
REMARKS
)-0 ~~
CHANGE '
VOLTS I;J- cf/;r </ ~
RECEPT'-S ~
V'
!. I
~)
SERVIC . - -].. -If:2-FINAL .i)-)..4~rz,
PERMIT FEE It'l~ DATE po.6~}cJ.-9.2.
TEMP. I)(
AMPS 6 c7
CIRC I S ik
NEW
7u.----~
SW'S
~. ELEC. SERV.
DESC. TYPE
FIX'S
· APPLIANCES
t