HomeMy WebLinkAbout1993-Electric (remodel) 7_
CITY OF OSHKOSH N°_ 32392
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ) 3 22 07:e40 PLAN NO.
OWNER 2_ e Y l
DESIGNER
USE /NATURE OF WORK 6?eirl/
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 :( II ","_,JIM '
_
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures j/ Switches r Receptacles ( Circuits y D*()
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: Valuatio '. ! !/
Permit Fee Paid $ ) Park Dedication $
ISSUED BY /�a�i ,-✓ /
Date / �/7 �1 ` ! 3 Final /O.P. /~ / `7 I }
In the performance of this4vor I agree to perform all work ursuant to rules governing the described construction.
SIGNATURE 1 Ai. ii k())
/1— / VD4TE9 3 AGENT /OWN
ADDRESS
TELEPHONE #
PERMIT NO. 3- 7--3 , 7 - 02-- -PL. 'i TE 2 G --
ELEC. CONTR. 7
OWNER 42_e___ / °
ADDRESS /33.� - f/ -..
NATURE OF WORK aGed e-g
ELEC.. SERV . NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S X. SW'S RECEPT'S k CIRC'SC
APPLIANCES
SIGNS / —7
INSP. ROUGHIN .. SERVICE FINAL
EST. COST �'O d "-� PERMIT FEE ?.Sf DATE PD./ 7
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