HomeMy WebLinkAbout0037891-Electric (misc. interior) CITY OF OSHKOSH
No 37891
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 z 3 / 7 Y7,.z. ,( I PLAN NO.
OWNER iGi/ZU C -- zAl
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 2 ?i fet.. Z C-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches " . Receptacles 3 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 _0 0.0 a Permit Fee Paid $ ZO. O
Park Dedication $
ISSUED BY
u ���'� Date / AM Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
105,-, Z Z.
SIGNATURE / /Ai,. AV/ i if ' Ar a T:e/4 /e, g
AGENT /OWNER DA �+
ADDRESS #-h
0.2-3/40
TELEPHONE # ✓
(oft—
PERMIT NO. 3 7 ' / . APPL . DATE A
ELEC. CONTR. au 5 /1
OWNER PeZ/1 it.1710
ADDRESS P3/7 r 1 / 40 `�
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S r RECEPT'S 7 CIRC'S
APPLIANCES
.‘414 Mee •
SIGNS
INSP. ROUGHIN SERVICE FINAL 4/'W
EST. COST 5190..0 PERMIT FEE ?O•" DATE PD. WV,
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