HomeMy WebLinkAbout1989-Electric (temporary) 41.) CITY OF OSHKOSH No 12396
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Ei PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
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USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR O-e-i--
Electric Serv. New ❑ Change ❑ Temp 1A- -----
----- Type . iit/ Volts dAmps G AI
Fixtures Switches Receptacle 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
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FEES: Valuation $ Permit Fee Paid $ �� Park Dedication $
ISSUED BY e 3f1 Date -2-- - "4?' 0 Final /O.P. /.2 -.7--
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2 2 'G�f
AGEN WNER DATE /
ADDRESS
TELEPHONE #
PERMIT NO. / g-3 l 6 . APPL. DA / Z/ 3
ELEC. CONTR. �i�/ -7
OWNER �.,c %�� / e-7
ADDRESS / 7X c? - 1 -1 - -
NATURE OF WORK
ELEC. SERV. N CHANGE TEMP .. k
1 _ C . TY • E - - - V • / �. f-e AMP - e
FIX'S RECEPT'S CIRC'S
APPLIANCES (4 /a-if -
SIGNS (r
,INSP. ROUGHIN o 6 SERVICE�A -/ - F
/- INAL /. -'-/ `S'
EST. COST (o PERMIT FEE ¶ DATE PD.2 2 c`s `/
REMARKS