HomeMy WebLinkAboutElectric CITY OF OSHKOSH No 13738
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [JjF'LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER "`-'' '
DESIGNER
USE /NATURE OF WORK
7 2-4-1 9 (74-4-
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 E range ❑ Temp ❑ TypelAZ Volts / Amps"
Fixtures witches V Receptacles ' Circuits ---._ itg.......„---
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 $ / Permit Fee Paid $ � Q Park Dedication $
ISSUED BY 2�' ,!/� Date �� Final /O.P. '7 - a 8 - 89
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G� ` 6 1
aAGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 373 APPL. DATE $ -F7
ELEC. CONTR. , 1:-.
OWNER ' ir ''
ADDRESS /1 T 2 — ' L 7 "(Z'
NATURE OF WORK le4
ELEC. SERV. NEW g CHANGE TEMP.
DESC. TYPE j k— V VOLTS d AMPS..?dc) fr
FIX'S \ SW'S RECE S CIRC'S
APPLIANCES I
� L
SIGNS i0
INSP. ROUGHIN 'W,'' SERVICE 5 y , FINAr /- ,I c t
EST. COST „2CJd PERMIT FEE 5 PD(P%
REMARKS