HomeMy WebLinkAbout0010161-Electric (receptacle)CITY OF OSHKOSH N° 10161
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~pLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ °In .To ~~ 7' PLAN NO.
OWNER tf t -t ~ k.J c' c. i ks ~r~
USE/NATURE OF WORK /, ~r ,r ~ ~ c~
a
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR _ ~~ ~C.. ~ f ~ ll ~ / ~.
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles .~ Circuits --~
PLUMBING CONTRACTOR
- BT _ WH - Disp
-~v -Sh -DW
- WC - FDr - SP
-Sink - LTub -Eject
Other
- WSoft - CBasin
- DF -San. Sewer
- Ur -Storm Sewer
- SS -Water
FEES: Valuation
ISSUED BY~
~,( a
Permit Fee Paid $ ~/ Park Dedication $
Date ~~~ -~ Final/O. P. ~~/ -~~'
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ _ ~ / ~~~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE N
PERMIT NO. ~< l~ , APPL DATE ~~~ -
ELEC. CONTR. O--i1~r~ ~ ~.
c
NATURE OF WORK
~~,FC. SERV NEW CHANGE TEMP
DESC TYPE v~r „~~