HomeMy WebLinkAbout0026591-Electric (temporary) CITY OF OSHKOSH N2 26591
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 4LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / :-r 1.
4_ � PLAN NO.
OWNER •
DESIGNER
Z at7:219
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 `
Electric Serv. New ❑ Change ❑ Temp ti.-- Type Volts S " Amps 44
Fixtures Switches Receptacles /X Circuits
4:;:;:;
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
J [/ "�
FEES: Valuation $ Permit Fee Paid $ ` , Park Dedication $
ISSUED BY Date i2 — 7 9 / Final /O.P. 7- 71 "
In the performance of this agree to •erform all work pursuant to rules governing the described construction.
SIGNATURE i = � �(
"Z Y R
DATE
ADDRESS
TELEPHONE #
PERMIT NO 2-- 5 / ✓ . APPL. DATE /-Z ) -
ELEC. CONTR. el i l
OWNER I' J r
ADDRESS
//‘7 5- 4.
,NATURE OF WORK
ELEC. SERV. NEW
CHANGE TEMP . 4
DES C. TYPE :2 L`- v -") VOLTS / �C S 4.61 FIX'S SW'S 6( RECEPT'S
APP IANCES
SIGNS c.�, c-ek)
INSP . ROUGHIN SERVI i6C /I- -7/ FINAL /) 3 �y
gg T . COST S'6 " ! — PERMIT FEE /o- DATE PD J a -9=7/
REMARKS
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