HomeMy WebLinkAbout1989-Electric (a/c) CITY OF OSHKOSH N°_ 15660
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 57 7 PLAN NO.
OWNER [L 2K– %rt/�.�., f
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 ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ,7–.27,„44 �,"
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures — Switches ik, Receptacles Circuits A c_
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
C L
FEES: Valuatio, $ 1� Permit Fee Paid $ id Park Dedication $
ISSUED BY 4 ZI K %,,/ Date 9 O 9 / Final /O.P. 7 - •.)--/ G -
".�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE f – . -_ d ? ‘ 2 ' 9. �
AGE r /OWNER DA
ADDRESS
TELEPHONE #
PE - I NO . fr 6- (3 3 . APP . DATE r -- - 2 - - F7
i
ELEC. CONTR. ' / - f -z-t-i
OWNER (.iP 1_z' /,,,,---..1
ADDRESS /I7 7 - P..,�LQiLGe
NATURE OF WORK a `--'
E C. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS ,k
FIX'S SW'S �_ RECEPT'S CIRC'S DC k
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST y -- d °% PERMIT FEE / XL- - ATE PD.9
REMARKS