HomeMy WebLinkAbout1990-Electric (service change) CITY OF OSHKOSH N° 17861
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC y] PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 e?6,04 PLAN NO.
OWNER Zer 4)( // 2--.3
DESIGNER
USE /NATURE OF WORK SfireV/CC e40-1e:' . 7- 6o 'Ye) 3 -(00
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
ID
ELECTRIC CONTRACTOR A �1 g I if
Electric Serv. New ❑ Change XTemp ❑ TypJi. Volts/ X)Amps404_ G Y
Fixtures 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
eir 4 C
m G
FEES: Valuation $ �� ■Permit Fee Paid $ �� Park Dedication $ p q
ISSUED BY �� Date i t — L ``L Final /O.P. -' Q _`D
3-
..-
In the performance of t s rk I agree to perform all w suant to rules governing the described construction.
SIGNATURE e5/141 ) V AGENT /OWNER TE
ADDRESS
TELEPHONE #
I
PE - T NO. L • / APP . DATE 3 `.� ,2-_-.e
/ `
ELEC. CONTR. -
i //
OWNER
°1
ADDRESS �Y �� -
NATURE OF WORK
ELEC. SERV. NEW
CHANG TEMP .
DESC. TYPE ?- 6 3 --'--c/ VOLTS /`. � U AMPS l° °
FIX'S SW'S RECEPT CIRC'S'
APPLIANCES V
SIGNS ,, ad)
SERVI 3- &J FINAL)- ID .
INS.. ROUGHIN u _ d °= DATE PD:
EST. COST �OD�� PERMIT FEE
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