HomeMy WebLinkAbout1990-Electric (service change) CITY OF OSHKOSH N° 20728
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS iL. t PLAN NO.
OWNER l2 0_,/
DESIGNER
USE /NATURE OF WORK
Ae77,..o
3 z.c, /mil. o 6 Q', TO 7 /2 /...A spa /
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 ir-L,---4,..—
Electric Serv. New ❑ Change inp ❑ Type 3i/---1 Volts/Amps/40_
Fixtures Switches Receptacles L---- Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
``% '7
FEES: Valuation e (y � Permit Fee Paid $ Park Dedication $ p
ISSUED BY dii� i Date ` — 9' — J o d Final /O.P. /. ® — 9 `�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r I � � 9 `
SIGNATUR l
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. - O .APPL. DATE i (6 - P
1 • X
ELEC. CONTR. s '
OWNER "` �`
ADDRESS /1.02- °2- / `" °61) .
NATURE OF WORK
ELEC. SERV. NEW CHANGES` TEMP.
DESC. TYPE � - ( 0 •) \7 /'VOLTS I %438 AMPS Jt 0
FIX'S SW'S RECEPT'S CIRC'S f .
APPLIANCES tr-v
SIGNS
INSP. ROUGHIN SERVICE1 -4-(6-40 FINALf %D
I ° ..49' DATE PD/C9-7-9e,
EST. COST 'T�Cf� �� P ERMIT FEE
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