HomeMy WebLinkAbout1995-Electric (pool) 61z
CITY OF OSHKOSH
N2 43992
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 6 1 / le Gtr PLAN NO.
OWNER C�,�A, adt-f--• -✓
DESIGNER
USE/NATURE OF WORK 44-( 6 - i
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 a���
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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
FEES: Valuation $ So 00 Permit Fee Paid $ c' 0 0 / Park Dedication $
ISSUED BY ✓ es,/�/g -* Date 3 / 3 / 9 ‘ . Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
G l�
PERMIT NO. . APPL. DATE z /z /S J
ELEC. CONTR. ‘(2242It4.-..
OWNER
ADDRESS 87 (/ 4
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN 2 1 SERVICE FINAL
EST. COST PERMIT FEE DATE PD.
REMARKS