HomeMy WebLinkAbout0045808-Electric Coq
CITY OF OSHKOSH N ° - 45808
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS N o G ./4 PLAN NO.
OWNER ete,„- (.
DESIGNER p
USE/NATURE OF WORK ,,e,,) ,l1 /K..
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
Electric Serv. New K Change ❑ Temp ❑ Type c Volts CGJ Amps14610
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 $ c ! QO/ Permit Fee Paid $ O Park Dedication
ISSUED BY ? 2,1- * ---- C , 0../1-4,V7I-- Date 7 /5 / r ' FinaUO.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 #
, (' 771_Z25/ C
e
PERMIT NO. T,-d ° 'r . APPL. DATE
ELEC. CONTR. / Cwt
thiNER 4.44 -. J(Ly ( 0.4 " e4 OD (94
ADDRESS / II 0 V (,r kr•
NATURE OF WORK
ls pa
C. SERV. CHANGE TEMP.
DESC. TYPE VOLTS - 3 W AMPS 2D o
FIX'S SW'S RECEPT'S CIRC'S /
APPLIANCES ,jD
SIGNS mo l !
INSP . ROUGH N SERVICE 4 l3 7 c FINAL - t h I ''
EST. COST .2 a D PE - IT FEE '_ e, DATE PD.7 S !'
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EMARKS '.. ._ a o 2 AI 7 (.
'2174 Lek if c t I w
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