HomeMy WebLinkAbout0013699-Electric CITY OF OSHKOSH N°_ 13699
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELE PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS II ,4 A PLAN NO.
OWNER 411.7 d2 ' - 14V §
DESIGNER
USE /NATURE OF WORK £ �/C. 6v4ci
tk
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 L. ELECTRIC CONTRACTOR ./0" d , r L
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures t/ Switches JX Receptacles X Circuits x
7/;
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 $ Permit Fee Paid $
,/J Park Dedication $
ISSUED BY Date �
/
"" — 7 7 Final /O.P. / 0 '074 -- 8?
In the performance of thi • k I agree to perform all work pursuant to rules governing the described co uction.
SIGNATURE A // Als' .
AG ' "F•WN •
DATE
ADDRESS
TELEPHONE #
/ 767 . -- . APP _ _�
- - DATE 5
PERMIT NO. .. --
ELEC. CONTR. — r� U----2"; �. �,y��y�'' •
OWNER r a-
.4 d 2 7 Gi - -- -1
ADDRESS , � fr
NA CI" _ OF WO - ` i_
f►7 r
«. _ , GE TEMP .
ZLEC. SERV. NEW X VO S AMPS
F_
E ' k . S ' S_ ± ► i � REN PT'S C RC' S r_
APPLIANCE — ,—
SIGNS a' FINAL
INSP . ROUGSIN 0" — -- — ' SER # CE
i r' . y F V— DA • D, _ 8 .
REMARKS --.. '
•