HomeMy WebLinkAbout0012438-Electric (roof top units) CITY OF OSHKOSH N°_ 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC j�; PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /a O` / - i./ / f PLAN NO.
/46
OWNER //; . . /.�
DESIGNER d ��
USE /NATURE OF WORK
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 —,—,0?06
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
0. 0
" Fixtures Switches p"\ 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 $` ®C Permit Fee Paid $ ! Park Dedication $
ISSUED B / /* . _ Date 3 —/ �y Final /O.P. 3 - /- Sp
In the performance of this work I agree to pert. rm all work pursuant to rules governing the described construction.
A i
SIGNATURE •i
AGENT /. R
DATE
ADDRESS
TELEPHONE #
PERMIT NO. / / 3 .• . DATE / ----- / 7—Z7
j
ELEC. CONTR.
OWNER
ADDRESS / 2 .7--
NATU OF WSRK ir/Plar4I
DEEC. TYPE CHANGE TEMP.
E . NEW VOLTA AMPS /'
FIX'S TIYPE RECEPT'S CIRC'S
F
APPLIANCES
SIGNS 1 - ��
INSP. ROUGHIN � P SERVJCE _,6 _ FINAL)
EST. COS
REMARKS