HomeMy WebLinkAbout1986-Electric (garage) CITY OF OSHKOSH N2 00068
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECA PLBG ❑ SIGN El ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3/ 5 — -49
PLAN NO.
OWNER ' ' 17// 6 C7-2.-Ze r
DESIGNER
USE /NATURE OF WORK Lk/ 0
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR T1 J '2c -2 ( - S C:....
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures em
Switches `� __.Receptacles Circuits
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
._D,5 o-
FEES: Valuation Permit Fee Paid $ / /�- �� Park Dedication $
ISSUED BY Date _ Q --/a 'Thg Final /O.P. `7-2- - g4
In the performance f this work I agree to perform all work pursuant to rules governing the described construction.
1
SIGNATURE 1 ),-,-e e 1/4_--' rcc1---Ar.
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. G%' e' e APPL . DATE - - e9 - 7-4
ELEC. CONTR. 'V 4 �� i
OWNER °41� < /
ADDRESS 3/ , ealtiPpe
NATURE OF WORK
ELEC. SERV. NEW /
DESC. TYPE CHANGE TEMP.
FIX' i SW'S VOLTS
l i
APPLIANCES RECEPT'S 4.2".----____ CIRC'S
SIGNS
INSP. ROUGHIN; lOd SERVICE
EST. COST +� FINAL -
REMARKS PERMIT FEE �� ° -� DATE PD /D