HomeMy WebLinkAbout1998-Electric (kitchen receptacles) CITY OF OSHKOSH N2 11289
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 1ZJ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 CO / C -2 G io w PLAN NO.
OWNER - a 4 -e 1 G{ 14 S fvl
DESIGNER J// ./ , L
USE /NATURE OF WORK li .- - 2 s-1 d ��4 / • S
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 ` Y El 7 r C Lfr7)
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles e Circuits e--
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
C
/�
FEES: Valuation $ /5(/ o Permit Fee Paid $ /� O Park Dedication $
ISSUED B Date / 77 7 a Z Final /O.P. / /7'i — g F
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
"10
"s:. �� �• � ////6/6"
AGENT /OWNER DATE
ADDRESS 4 -
TELEPHONE #
PERMIT NO. //;:2 7 , APPL. D,TE / v /(
ELEC. CONTR.
f c /
OWNER
.e/1 P ‘-(44-1-1
ADDRESS 7, 6 -
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S lig., CIRC'S
APPLIANCES t
SIGNS / 1 \
INSP. ROUGHIN _ SERVICE ,,�, FINAL !F' -ii i
EST. COST /,7 v — PERMIT FEE / - DATE PD /,'-../ f
REMARKS