HomeMy WebLinkAbout0040371-Electric (temporary)~~ /
CITY OF OSHKOSH N°- 4~~71
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ ~- ~~ ~,1~d~2~l.L~' PLAN NO.
OWNER ,~~~~ ~-~'-*.~-~~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ FueVSystem Heat Loss BTU'S
ELECTRIC CONTRACTOR ~~i~~ L~'~CC~~
Electric Serv. New ^ Change ^ Temp ~ Type
Fixtures Switches Receptacles .
Volt ~/ Amps ('~
- Circuits
PLUMBING CONTRACTOR
-BT WH
Lav Sh
WC FDr
Sink LTub
Other
- Disp
DW
- SP
-Eject
- WSoft
- DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation _. S - ~ -~ Permit Fee Paid $ ~ a < <% ~~ Park Dedication $
ISSUED BY ' ~- -y--~ /
Date ~~7/Cj ~ Final/O. P.
In the performance of this work I agree to perform afl work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER DATE
TELEPHONE #
2 ~ ~ _ S''S'' ~l, Coo ,
G: i~
PERMIT NO ~ ~ "?~ . APFL DATE 70 ~/'5~~~~
~VG~ ~ /'a
p,LDRESS 13 Z ~ ~ ~/ ~
NATUR OF WORK
~'• ~ irr. CIRC' S
FIX'S SW'S RECEPT'S
L ANCES
REMARKS