HomeMy WebLinkAbout0029083-Electric CITY OF OSHKOSH N°_ 29083
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 4 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
A
ADDRESS g 3 2 n ( --�( - PLAN NO.
OWNER (.�Z-
DESIGNER
USE /NATURE OF WORK 0/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR G> i l Z Le .47c c ,j
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
2, 4)___ ..2
Fixtures y Switches o L' 1 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
im - d G
� /
FEES: Valuation $ /.� Permit Fee Paid $____ // - q "� p — Park Dedication $
ISSUED BY ►�, �l�I Date /� -/ ` / Z Final /O.P. .. — 3" 9 - 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /(/� 6 9 9 s
A 0 ER ATE
ADDRESS
TELEPHONE #
PERMIT NO .O"' Pc ■ , APPL . DATE 5 - >> -
ELEC. CONTR. 1 ,/,2 /
OWNER
ADDRESS l ir -
NATURE OF WORK (� f/'
ELEC. SERV. NEW CHANGE TEMP.
DESC. 754"-SN'S VOLTS AMPS
FIX'S RECEPT' y S
APPLIANCES
SIGNS
14 P. 'OUeis SERVICE FINALD"3`7.2
• PERMIT FEE SATE .D4.1-97