HomeMy WebLinkAbout1989-Electric (4iiv) CITY OF OSHKOSH N2 12285
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC it PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS IF / 6,2 2 5 %it)f,(,,ILL. / . PLAN NO.
OWNER 6A/ ea inTh J / e
DESIGNER
USE /NATURE OF WORK
� Rr t/f"J /►
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 G/ •ni tX ,'LEe77? /14¢L ardT2r4-Gj 04g---
Electric Serv. New f Change ❑ Temp ❑ Type 6 /6 Volts i2'�zif° Amps 200
Fixtures Switches k Receptacles X Circuits.-
9i)---%
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
l G G dc - FEES: Valuation $ - '" it Fee Paid $ �_ -- '� r � Park Dedication $
ISSUED BY /4"40 _ � Date i ‘ "d } 7 Final /O.P. S - 3 $ 5
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 47 a l " fr‘e-1------ -
AGENT /OWNER D ATE •
ADDRESS
TELEPHONE #
J
PERMIT NO . • APPL . DATE � A 4
c'
ELEC. CONTR.
•
OWNER
ADDRESS l 6 2 � -- �/�'`n-� // /�L-
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE 3 — — V.O. VOLTS %% �0' AMPS / G' t
FIX'S I' SW' S _Q" RECEPT' S OS CIRC' S SS'
APPLIANCES 17-
S IGNS
INSP. ROUGHI-jj SERVICED/ / � 7FINAL '- 3 -g7
EST. COST 5 PERMIT FEE } ATE PD.
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