HomeMy WebLinkAbout1989-Electric (a/c) CITY OF OSHKOSH N2 13035
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC "PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS • 2 duns" PLAN NO.
OWNER 5 . UCf.4 A) Ur 1
DESIGNER
USE /NATURE OF WORK Ard...... .
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 -
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits k"" ----- / 111111
i0 t
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
FEES: Valuation $ U Permit Fee Paid $ 747 Park Dedication $
ISSUED BY ..!G��? Date ?- 7 ` r Final /O.P. 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i!GOC 01/07.
AGENT /OWNER TE
ADDRESS
TELEPHONE #
PERMIT NO _ 1 ) ,APPL. DATE --- 77
ELEC. CONTR.
lbw
OWNER 0 ">"1�7
ADDRESS 5 — l i
NATURE OF WORK e
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S 1
APPLIANCES
SIGNS
INSP. ROUGHIN b , C SERVICE F I N A L - '
EST. COST 0,0-- PERMIT FEE /4 e DATE PD. 1
REMARKS