HomeMy WebLinkAbout1992-Electric (kitchen remodel) CITY OF OSHKOSH N2 30850
L' PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC . 0 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS P E PLAN NO.
OWNER _
DESIGNER �i
USE /NATURE OF WORK I1 / h4.e--. 2�� 0-4(
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 (_) ' /.. E/ -r c_ y c__
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits DS 6)t
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
1 l c" c--
FEES: Valuati.n $ D° Permit Fee Paid $ �� �^ Park Dedication $
ISSUED BY • Date 99—
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �1 ) 9 ° 2-L'' 9Y
E /OWNER DATE
ADDRESS
TELEPHONE #
C/
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. APP SATE '-- 1 -9.2--- PERMIT NO.
E __C. CONTR. /
OWNER /.- ` te ,
ADDR O � 7 ' w
NA OF WORK 11•140,w" I INFi . -- Af
. RV. N V• T AMP
X' *4' _,' SW' S R CEP'!" S e.. C RC S .
P
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ER F N
N P . RSU N CE - si. T F _ - 2.0 ` D • -D ----
MARKS
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