HomeMy WebLinkAbout1994-Electric G3/
CITY OF OSHKOSH N9 38786
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECXPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 (0 0 PLAN NO.
OWNER
DESIGNER
•
USE /NATURE OF WORK 4_4,, z- q L e- -n.c7/
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
I
ELECTRIC CONTRACTOR . S /�J1 ?Z _4 —
Electric Serv. New X Change ❑ Temp ❑ Type U /G7 Volts 3 t ) Amps /0'00
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: Valuation $ o77 000 0 0 Permit Fee Paid $ / 9 2 ..SO 1 Park Dedication
ISSUED BY �Tcn —� l� c���a -� - Date ‘70950 cer Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
3 p 1031
PERMIT NO. J S 7€ S/ � . APPL. DATE 3/24/5 S�
EI,E CONTR.
OWNER
ADDRESS / 7 (Q O
NATURE OF WORK o'Z SeCI -
ELEC. SERV. CHANGE TEMP.
DESC. TYPE t4/er VOLTS �.c> AMPS /000
FIX'S SW 'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
NSP. ROUGHIN SERVICE FINAL
EST. COST 3'1 0 00• a p PERMIT FEE /92 - S DATE PD. W e ,
REMARKS