HomeMy WebLinkAbout0023776-Electric (a/c) CITY OF OSHKOSH N° 23776
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC J'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / . o l Q //(-o PLAN NO.
OWNER '41. Cif / 42 L--
DESIGNER
USE /NATURE OF WORK /9
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 ( F--7 1 r___.
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits <--\\------ I;;
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay _ Sh _ DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /( , 0- 1) Permit Fee Paid $ /( C Park Dedicat'on $
ISSUED BY Date `e --1 q ° `" Final /O.P. CO —(el —7/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ?/\- CS; ( j — 7(
A GE T /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 7 7 APPL DATE `�j
9
ELEC. CONTR.
/
OWNER /
ADDRESS
NATURE OF WORK a/L-
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'
APPLIANCES
SIGNS
INSP. ROUGHIN w SERVICE FINAL
EST. COST /pQ PERMIT FEE 42 ■ DATE PD.(o - fa/
REMARKS