HomeMy WebLinkAbout0036329-Electric (11
CITY OF OSHKOSH N° 36329
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /O f S. 0 6
b7 /� � � PLAN NO.
OWNER !i i/ / , .. , � iliz a6.�'0'
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 %1 L %E�ti GG . /a a' 1r. j
Electric Serv. New Change Temp 12/O
g ❑ p ❑ Type /� Volts /'z,`F Amps 2 -0 O
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 $ . 0O O $ a o Permit Fee Paid $ tl �• o
i Park Dedication $
ISSUED BY ' ,I _. , Date 'o /, 3 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 #
0'
PERMI NO. 3032 9
APPI, DATE (0 /I A2
E C. CONTR.
OWNER ` )77
ADDRE S
NATURE OF WORK .��� ■ `.
SERV CHANGES .
C. TY-E NEW J. VOLTS CIRC'S
D F ' TY-E SW'S RECEPT'S
FIX'S
- -L ANCES
SIGN
IN 3 FINAL
EST. ROUGH N �'3 PERMIT FEE 00 DATE PD.
EST. . COST if goo ,o
REMARKS
J0fit/9 3 "°
f