HomeMy WebLinkAbout0013508-Electric (a/c) El 1'1) CITY OF OSHKOSH N 0 13508
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 41 - Li , 7L PLAN NO.
OWNER Ail PP W
DESIGNER r
USE /NATURE OF WORK it /C
•
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 ...--....A.—..
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches E/ Receptacles Circuits `/ jA---'
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 $ e, Permit Fee Paid $ et, Park Dedication $
ISSUED BY �Z - - - q
'L��� Date 5 ` l F i na l / O. P. , � lam- �/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE VY--27;r?
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. < i , APP .,, DATE 5 , ) — a /
/
ELEC. CONTR.
OWNER Li, /
ADDRESS �
NATURE OF WORK a______,-
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S K RECEPT'S CIRC'S r%'
APPLIANCES
SI
INSP . ROUGHIN SERVICE FINAL f- 1 1 —e f
s EST. COST / 6 PERMIT FEE /0 DATE PD. 5 ----— $ ,
REMARKS
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