HomeMy WebLinkAboutElectric (temporary) CITY OF OSHKOSH No 01090
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /1Z . ----,` Gv i� .
PLAN NO.
OWNER --?
DESIGNER
USE /NATURE OF WORK
5.147701: . '
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 /L 510
❑ Change ❑ Tem Type Volts Amps z•=7'""e") lP. G
Fixtures X Switches >_. -- Receptacles tacles X Circuits X t
9
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
( 4- °---° 7
FEES: Valuation SG Permit Fee Paid $
Park Dedication $
ISSUED BY Date 2r---2Y-76 Final /O.P. ST n: o -"
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE liLe' j II eti
NER
DATE
ADDRESS
TELEPHONE #
PERMIT NO /9/( < APPL . DATE O 7 G
ELEC, CONTR.
L ^�
�
OWNER C
ADDRESS // 2 2 -
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
Q./ - v 4 - VOLTS 1 _,% / ..)--' 0 - 0 AMPS (0
FIXX I' S TYPE SW' S RECEP''�''S CIRC' S
F
APPLIANCES
SIGNS CAffee) -yam
INSP. ROUGHIN SERVICaPR -- B FINAL`d
EST. COST S 4 PERMIT FEES DATE PD .$J8 - 86
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