HomeMy WebLinkAbout0035962-Electric CITY OF OSHKOSH
N2 35962
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECA PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //°0 / PLAN NO.
OWNER ,.e. /7' • e- e.AC.t_
DESIGNER
7
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
4
ELECTRIC CONTRACTOR (uiy-9 ne.e,..i /64-f..c.-0--e_
Electric Serv. New ❑ Change ❑ T mp ❑ Type K / 7L Volts 314) Amps 2490
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 $ 1000, On Permit Fee Paid $ 50 ; d o Park Dedication $
ISSUED BY 6 �'�3— Ji k, -- Date 7/S J Final /O.P. / 2 ` / • 9.3
In the performance of this work I agree to perform .11 work pursuant to rules governing the described construction.
SIGNATURE <, AIZEIIIIiiK1 �� _ y�'
/ r . ER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. 3 Y 6 2 . APPL. DATE T/ / 3
ELEC. CONTR.
OWNER 4< /.9,e/feu
ADDRESS / 1 D o 'er- -�� A �✓'�
NATURE OF WORK /
. SERV. / / CHANGE TEMP.
DESC. TYPE VOLTS /za i 4o 3 w AMPS /D 01
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS �/
INSP. ROUGHIN V -03 SERVICE 4/93 F INAL /L / /,(
�
EST. COST 200a , 0 a PERMIT FEE Si), 00 DATE PD. �' / 1 3
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