HomeMy WebLinkAbout0030094-Electric (temporary) CITY OF OSHKOSH N2 30094
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ) 1 t(60 � • PLAN NO.
OWNER . /
DESIGNER �j � L /
USE /NATURE OF WORK . J ` j� /S
' 4 '71 JI . 7 l 0 Alf lo 1- 4
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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 _ ? t- _ _ A % / -1,
Electric Serv. New K Change ❑ Temp ❑ Type73 J Volt 4 ih dAmps 9/..:4) 4
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
v L
FEES: Valuation (� ��`' ----- Permit Fee Paid $ a if J q Park Dedication $
ISSUED : " L , ��: �% d /l ! Fin al /O.P. ��� C Ia
/ Date /
In the performanc • work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR ��/ V r:// Z
-� AG• T /OWNER B ATE
ADDRESS
TELEPHONE #
PERMIT
NO. a (/ " .APPL. DATE 7 -x 72_
ELEC. CONTR. r �ti// /-�
OWNER 7;22'7 "
ADDRESS 4- 7.2-C ,/ - - - 0 4
NATURE OF WORK
RV . N OS - rr ee�- MP
1 2 v �- v o' AMPS Z C9 O
1 . *4 - — v . VOL
^IX' r SW'S ►. RECEPT • 'C' - ;.
All / Jew / . AmEna 1po— T2
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N - . ROU ��*lIllNllkioi;ksi•t• [dPM N FINAL
. COS I • AT D i 1/ - Z-.
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