HomeMy WebLinkAbout1994-Electric (a/c) CITY OF OSHKOSH N2 39852
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 3 /47
y PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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 ❑ 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 $ f S70.0 Permit Fee Paid $ / S — ` 4)-4 " Park Dedication $
ISSUED BY � -c-! /.r�✓'7`-� ---- Date �/t��t Final /O.P.
2111-4,--- CCC
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 #
5/0y 6/z
PERMIT NO. 39es . APPL. DATE
ELEC. CONTR. e -€%22L
OWNER pA�
ADDRESS /4 3 C te » 2 i& -
NATURE OF WORK a&i_ 4-10/
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS t
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINALN
EST. COST / S e. PERMIT FEE /.moo DATE PD./girt '
REMARKS