HomeMy WebLinkAbout0001983-Electric (garage) CITY OF OSHKOSH N2 01983
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 4V PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS i9 3 D // f w PLAN NO.
OWNER /Ay 74c- /
DESIGNER
USE /NATURE OF WORK b(//7', Q - yl e
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 19/7 _. /x/.74/ C-
E l ectric Serv. New Zr Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits e-er 9C)
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
G /� o
FEES: Valuation $ ,3 Q r Permit Fee Paid $ t / v J_ Park Dedication $
ISSUED BY AK/A+1- , --;./ :✓ Date < / ` 7 l — d
c�
Final /O.P. // / -76
In the performance of this work I agre o perform all work pursuant to rules governing the described construction.
/
SIGNATURE , / //; GENOWNER
ADDRESS
TELEPHONE #
PERMIT NO. Q ( 9 T� APPL. DATE /1 - /-j
ELEC. CONTR. Are
OWNER `/ ` -- - 1 7:4'74
ADDRESS 0 3 a ( - /`/
NATURE OF WORK �e
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S 0 _ SW'S RECEPT'S CIRC'S c
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL/ / -// ib
EST. COST „SO � PERMIT FEE o2 2 DATE PD P
REMARKS