HomeMy WebLinkAboutElectric (temporary) CITY OF OSHKOSH No 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
l' 4 oG / , �j�
ADDRESS / U Y' �" ,' [ [ PLAN NO.
OWNER r f C k E Ge. GL
DESIGNER
USE /NATURE OF WORK '/ f /' c.5 -P
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 C52 /et f°' / e°
Electric Serv. New ❑ Change ❑ Temp f9-- Type Volts (7 2.6) Amps 6 C
Fixtures Switches Receptacles Circuits
40 .
PLUMBING CONTRACTOR
- BT WH Disp WSoft CBasin
- Lam Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
--ems
oC 6:-1-E—' FEES: Valuation $ / -� 6:-1-E—' Permit Fee Paid $ i` a p- Park Dedication $
ISSUED BY /, / //_ � �: �% Date / — /I - a r Final /O.P. ` 74----x
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE wrj7 /C
,/ AGENT /OWNER D E
ADDRESS
TELEPHONE #
-- PERMIT NO. /.• 6 � r AP DATE 7-/L7/ W
ELEC. CONTR.
OWNER g,_,
ADDRESS
(63 ' L / 6
NATURE OF WORK
. ELEC. SERV. EW CHANGE TEMP
It _ C. TYPE i ' V• LTS 1 t S - do
FIX'S SW S RECEPT' x CIRC ` S
APPLIANCES lvc-z
SIGNS ( 4 I )
INSP. ROUGHIN SERVICE &e. 7 - / S i FINAL
ES . • ST r c / ' - "st- _ °G D- - • • -A/-
REMARKS