HomeMy WebLinkAbout1988-Electric CITY OF OSHKOSH N° 08605
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (7 7 c "r ' / ' PLAN NO.
OWNER G � - ' /
DESIGNER
USE /NATURE OF WORK r... .--
iZ /L /
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 Jb Adz-- _
Electric Serv. New Change ❑ Temp Type a6 Volts d Okmps 4? J Q
.._.----- ,„.
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: Valuatio $ j — - ' 400 Permit Fee Paid $ ! ci } f �( �" Park Dedication $
ISSUED BY / 464S-d � - -- -/ Date —/ — v C� Final /O.P. 1 7 1 '—� 0 -
In the performance of t ' ork I agree to perform all work pursuant to rules governing the described construction.
■ SIGNATURE �"`-_-, f , I /
AGENT /OWNER / DA •
ADDRESS
TELEPHONE #
- PERMIT O. e r , • • P DAT 3
ELEC. CO TR 1 /
OWNER
ADDR .S
A UR OF O•
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