HomeMy WebLinkAbout0032456-Electric
~
& cf3
CITY OF OSHKOSH N2 32456
PERMIT - APPLICATION AND RECORD
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
:5c::;JC) - ~.. ~<::<:::'E~
---
~c::c- r~~.,v:z:.7#~
$l-.
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
&~~ 9!- 'c:?.L)LJ;Z; r XGJ U
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~~
~c-r.e.z G .::z::v c.. . .
~
Fixtures
New D Change D Temp D Type_ Volts_ Amps_ ~
~ Switches >< Receptacles X Circuits K- L/'(7 ,
Electric Servo
.r:.
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Lav
_WC
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
JO~;--<di ::~
Permit Fee Paid $ 3d..$"" . Park Dedication $
Date /. / ? -- ,[5 Final/O.P. /1- / y-- J"..2-.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATuRed ~ . ///9/93
AGENT/OWNER . l. DAfE
ADDRESS
TELEPHONE #
PERMIT NO. "3 :;L1/:;- t:,. ~ t't/ - ~ -Y2-
EIiEC. CONTR. ~. .
Ua~k -p:~
]~ ~
( -~~ "
CHANGE I TEMP .
VOLTS AMPS
c..c.- RECEPT I SIP- CIRC' S ~
OWNER
ADDRESS
~ATURE OF WORK
ELEC. SERV. NEW
tJESC. TYPE
FIX'S ~ SW'S
APPLIANCES
I'GNS
INSP. ROUGH N
EST. COST
REMARKS
SERVICE FINAL -
t) (# ~ PERMIT FE DATE PD.-I
?, ::z .~
-
I
'.,