HomeMy WebLinkAbout1987-Electric (outside receptacle)CITY OF OSHKOSH No _ 03675
.PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ! ~ /V 4~Y 1 C-Cf~P~ PLAN NO.
OWNER V~ U C ~O~SGG.1C_.
DESIGNER
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 ~r~.-k ~ S (~ C r X~C~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
~}Si ~-. ,
f
PLUMBING CONTRACTOR
- BT _ WH _ Disp WSoft
-Lav - Sh DW -DF
- WC - FDr SP Ur
- Sink _ LTub Eject _ SS
Other
- CBasin
-San. Sewer
-Storm Sewer
Water
FEES: Valuatio $ ~ d •6y Permit Fee Paid $ ~ ~~ Park Dedication $
ISSUED BY Date Sr~~ `~~ Final/O. P. J ! l `-~7
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
Sq. Ft
# Rooms
/~ g ~.
DATE
AGENT/OWNER
ADDRESS
TELEPHONE #