HomeMy WebLinkAbout1989-Electric (a/c) CITY OF OSHKOSH N° 15662
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3/ 2 ' A -e.e--t./( PLAN NO.
OWNER (�,C
DESIGNER
USE /NATURE OF WORK / 1 `- C
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 Cdr../
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
4.9 Fixtures Switches Receptacles Circuits 11 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
FEES: Valuation $ Permit Fee Paid $ 7 "`��� --- --- "�(__-" Park Dedication $ Qp
ISSUED BY . 7.e.--/ Date 1 -.2 U 7 Final /O.P. ' - 7--- 9 -O
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7.-/-€.14---a 7 r __ ' .7 f �J
AGENT /0CVNER DA E
ADDRESS
TELEPHONE #
PERMIT NO . ‘ . APP . DATE ----.2 �
ELEC. CONTR. '/L. ��
OWNER /\��T� .�
ADDRESS d /,?- l/ -�,
NA RE OF WORK // i
I / /` —
$LEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS P
FIX'S SW'S -- RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL 7 - Ai 19
COST '/ ° - E - T FE I �- ATE -D.`
REMARKS