HomeMy WebLinkAbout0044801-Electric (misc.)~~~
N~ ~.4UQ~.
CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ C` ~ `~ ~~~-~ PLAN NO.
,-1 ~ .~ ,
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~~?~= •~E-~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures i%" Switches ~= " Receptacles ~~ Circuits
PLUMBING CONTRACTOR
_BT WH
Lav _ Sh
- WC - FDr
-Sink _ LTub
Other
Disp _ WSoft CBasin
- DW _ DF -San. Sewer
SP Ur _ Storm Sewer
-Eject SS -Water
FEES: Valuation C C ~ ~' ~ Permit Fee Paid $ ~~~ ~~' "` / Park Dedication $
ISSUED BY Lt"~ -~' Date 5 ~ ~,~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER PATE
Sq. Ft
# Rooms
ADDRESS
TELEPHONE #
PERMIT NO. ! ~c' c~~,~ APPL. DATE
ELEC. CONTR. ~a-~~~-
ADDRESS v l ~ (`f t~-~~-c:~
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX' S ~--~SS"1' S / RECEPT' S CIRC' S`~
APPLIANCES
SIGNS
REMARKS '