HomeMy WebLinkAboutElectric (lip) CITY OF OSHKOSH No 09151
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC kl<BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /D D K f // L° n 'm / ' d PLAN NO.
OWNER 0 J h C
DESIGNER
USE /NATURE OF WORK (4 --- ) / i ''(, n w t--14017
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 Jam' '41 rl <2 C ( L.,
Electric Serv. New ❑ Change ❑ Temp ❑ Type 3 li, Volts /. c /- c Amps - ' '
F
lP110
ixtures L---- Switches .---- "Receptacles Circuits 1
/i
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
FEES: Valuation $ Permit Fee Paid $ �5 - Park Dedication $ ,1/
ISSUED BY Date ! " r - Y7 -- Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNAT -1`1- / //e 7 e-
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ` ,/ / AP • L. DATE ‘ '0 J -
ELEC. CONTR. , / .• -
OWNER P (fY? 1 _
ADDRESS ` 7 - --°� ,
NATURE OF WORK 1/`-'9
ELEC. SERV. NEW ■ ANGE TEMP.
DESC . TYPE 3 - - - U.. - VO TS l - V D
AMP G F
APPLIANCES SW'S 6><` RECEP S CIRC'S t
SIGNS "v v
1 \
SP . ROUGHIN / '( - ? - i SERV ! 2 • ° = • - F NAL 1 5
EST. COST ....__5""a =--- PERMIT FEE 7'S`.- DATE PD.7 -S-gf
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