HomeMy WebLinkAboutElectric Clifr) PERMIT _CITY OF OSHKOSH N2 07559
APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC$ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ge Rl 0 ih'I /C- L_ 4. PLAN NO.
OWNER ERA . CO 'J S i 2G( LT J
DESIGNER
USE /NATURE OF WORK 10 ((- Al fa) W
d -
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 ,-C-Citevil .- - 14- f--t- 4 -`' -'- tec ,
Electric Serv. New J Change ❑ Temp ❑ Type uJ Volts / 0 Amps 2-°°
Fixtures / Switches (' Receptacles X 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 o.
FEES: Valuation $ �� Permit Fee Paid $ / o
Park Dedication $
ISSUED BY / / L� ate_ Date y - y-38
Final /O.P. iS
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
A , SIGNATURE io.. ,'
AGENT /OWNER S E /
ADDRESS
TELEPHONE #
PERMIT N . 0 7 7 .--_2__/
, APPL. DATE
ELEC. CONTR. / � ,e,/,t� 4 �_ __ ____ ,
OWNER r R
ADDRESS / 4 S - C
- NATURE OF WORK s/" "
ELEC. SERV. NEW p c CHANGE TEMP. P
DESC . TYPE 4 - --' VOLTS p D o t
' �_
Fl X S o� SW S RECEP S oC CI RC S fry
APPLIANCES �/ ',
SIGNS // WW1 % °�i
INSP . ROUGHIN OJT -' -- - i ■ SERVICE C 4 -2 ` " re FINAL u
EST. COST o 0 PERMIT FEE 1,5 - DATE PD .4 -
REMARKS