HomeMy WebLinkAbout0041410-Electric N °- 41410
/� CITY OF OSHKOSH
`' PERMIT - APPLICATION AND RECORD '
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4=.1-C-- /1--- , PLAN NO.
OWNER feed---7 Z-.— `-7Z�tw"/w
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 £ :2z rtfrZ [.4- u C L.aC1
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
9 Fixtures 7 Switches / Receptacles 1 Circuits O �1
j •.4.A- rt+�.4.-- aLti e.0).4.44
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: Valuatio. $ SD Q 0 ° Permit Fee Paid $ °IP 'CJ c:7 a/
Park Dedication $
ISSUED BY :4 , / /. l. ���v�°�" Date . 9 c�3 IV
/ Final /O.P. I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
/ i� //�,� 3/ /9 $'
AGENT /OWNER 9 0
ADDRESS
TELEPHONE #
1pl
PERMIT NO. T/ W ° . APPL. DATE
ElFC. CONTR. 04
OWNER
ADDRESS .05
`�
NATURE OF WORK
ELEC. SERV. NEW CHANGE T EMP.
DESC. TYE VOLTS AMPS
FIX'S /.r SW'S RECEPT'S /3 CIRC'S A
APPLIANCES
IGN _ _
N P. ROUT _N .T!LffN yr = n7S
EST. COST s`oo PERMIT FEE Zo DATE PD. 3/95'
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