HomeMy WebLinkAbout0043626-Electric (hot tub) (g/ L
CITY OF OSHKOSH
NI 43626
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3/(4) ti-f-66-#1--- PLAN NO.
OWNER
DESIGNER
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 L 3 2- - y 1„lJG{.,( L -/ *-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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 $ 70 0 • o J Permit Fee Paid $ 3�� • 0.® Park Dedication $
ISSUED BY �:•A_.r - Date 0 t/3o,9 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 #
fi
PERMIT NO. 36,240 . APPL . DATE 7
ELEC. CONTR. Ae-
OWNER
ADDRESS 3 /
N ►TURE OF WORK / ` T
ELEC. SERV. NEW d'1 CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL7/1
EST. COST `7 m PERMIT FEE 3 �►�. c.+ DATE PD. / 3. fq
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