HomeMy WebLinkAbout0041905-Electric (misc. interior)CITY OF OSHKOSH
n PERMIT -APPLICATION AND RECORD
~~ z
NA ~ 41905
TYPE: BLDG ^ HTG ^_ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
----------------------------- -------------
ADDRESS ~ 3 ~ ~~ U' PLAN NO.
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~ z ~e~-OCC~-~ y~ c~,~ G~/~c.(/1 '
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~ Switches -~F~eceptacles ~r 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 $ /a D 6D , c~ ~~ Permit Fee Paid $ -~~~ • ~ ~ Park Dedication $
ISSUED BY ~-`~ .cA//.~ ,.,~~ Date 4 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
DATE
ADDRESS
TELEPHONE N
ro/Z-
PERMIT NO . ~ ~ ~ ~ APPL . DATE Ic~~ ~ -----
D C. TYPE "•.,"j" -
FIX'S SW'S RECEPT'S CIRC'S
AP AN S
RE