Loading...
HomeMy WebLinkAbout0039009-Electric N2 to'f( 39009 ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E?~_ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS .3 5" ~ ~. f:U LhA./ OWNER ~~ ;e~:r-J~1- ~; PLAN NO. /~## DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S .' ELECTRIC CONTRACTOR ,~A.../ ~)0 /(....uLJ ~~ . Electric Servo New}d' Change 0 Temp 0 Type f2../tsi- volti %K Fixtures ~witches ~ Receptacles ~ Circuits '" Amps . 'ttJ 0 r- 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 Permit Fee Paid $ /7@.0 :J j Park Dedication $ ISSUED BY Date $f"~h V Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~ 7)/&PD~t7#' AGENT/OWNER ADDRESS TELEPHONE # (p <{./ If/; r:/r t/ ELEC. SERV. NEW DESC. TYPE FIX'S SW'S APPLIANCES CHANGE' .. TEMP . VOLTS 3f/JI..fW /24/u.f' AMPS :UO RECEPT'S' ' CIRC'S SIGNS INSP. ROUGHIN EST. COST REMARKS SERVI CE PERMIT FEE ~