HomeMy WebLinkAbout0028195-Electric (a/c) CITY OF OSHKOSH N°_ 28195
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC /PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 L ir l 1 I . VADI. ,e-,U A- PLAN NO.
OWNER NA1 - 6_
DESIGNER 4
USE /NATURE OF WORK 4' �
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 (J ITZia Lfrcrz c._-
Electric Serv. New ❑ Change Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: 1...* Valuation / k Permit Fee Paid $ 769 � —_ Park Dedication $
ISSUED BY . .-'-/ Date — Z7 " -, Z-. Final /O.P. 1 T - 2.„2.- -77
In the performance 's work J gree .o perform all work pursuant to rules governing the described construction.
SIGNATURE • (.Lr y-zz..--ct
A TIOWNER DATE
ADDRESS
TELEPHONE #
2 / % % P DATE
PERM T NO. I`
C. CONTR. / / � tf2, -cs
OWNER
.2.__ 4 / ` /L ,e--77--e
�'- -�-<<-
'.. s DR
NA ` - OF WORK 4
• CH TEMP ERV. NEW VOLTS S
� �� SW'S to. RECEPT'S CIRC'S
FIX'
z s
ERVIC 1.--711---1 •_ -�i-91
N -OU H_N °L SAT 'D �.�9'Z
E . COST d" -ERM_T FEE
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