HomeMy WebLinkAboutElectric (temporary) CITY OF OSHKOSH N°_ 22479
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //7 ArAe1 i .li‘" PLAN NO.
OWNER 2 ,..G�` r
DESIGNER
1--
USE /NATURE OF WORK /•1.4-7 .
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 /Nta e :.[�
Electric Serv. New ❑ Change ❑ Temp IK Type OC Volts / d Amps ' 0
Fixtures Switches Receptacles P\ Circuits k /115—.
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
6047 -ct
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FEES: Valuation "� O�
Permit Fee Paid $ RAO ° Park Dedication $
ISSUED BY iPe Date 7- 1/ Final /O.P. /B 7 p
,22
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G / /
AGENT N ER
*VW
E
ADDRESS
TELEPHONE #
PERMIT NO . 7--34 7i , APP . DATE /G `/ —7
ELEC. CONTR. V
OWNER N %5 1
ADDRESS /I l
NATURE OF WORK
CHANGE TEMP .
F
CHAN —
ELEC. SERE. NEW 7 AMPS /17-# DESC. TYPE 1 �'� — G VOLTS f /i
FIX'S
SW'S RECEPT'Sr CIRC'S 1-
APPLIANCES V
SIGNS CJ �
INSP. ROUGHIN SERVI P4 f y` 9o FINALf®- 5'' -
EST . COST " -/ PERMIT FEE-t - DATE PD o`l at
REMARKS a el _