HomeMy WebLinkAbout0013733-Electric (receptacle) 41) CITY OF OSHKOSH No 13733
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ! / /���
�� PLAN NO.
OWNER `'� ""'�'�J� '
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 -P �"
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles 1.- Circuits 0029-- �
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
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FEES: Valuatio $ . � Q � — Permit Fee Paid $ ' -- ✓ ✓✓ Park Dedication $
ISSUED BY / / _, i Date // q
l � v � Final /O.P. o "' ��!
In the performance of this w• : - ee to perform all work pursuant to rules governing the described construction.
Cz ' I��.. 6 j
SIGNATURE
/ AG • ■ . • -
DATE
ADDRESS
TELEPHONE #
PERMIT sO. /37 P . 6 . E
EL C. CONTR.
AF
OWNER .✓ / � A-y.44-0 ,
ADDRESS
NATURE OF WORK
XLEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S RECEPT' S :7� CIRC'S
APPLIANCES
•
GN
N • . ROU N _ RV I.
ES . COST i ' : F 45" ; ' 112,
REMARKS ;
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