HomeMy WebLinkAbout0041218-Electric (a/c) (olZ.—
CITY OF OSHKOSH N 41218
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
7513/ ADDRESS / / l //..) / Z_/I PLAN NO.
OWNER . _,_.��� , . - %� i r L
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 /7 e4
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches 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
FEES: Valuation $ .? )-Z • ,-g Permit Fee Paid $ /1--* P i
/ Park Dedication $
ISSUED BY 7�/ -�.� -.-� D a t e V 9 y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 1 7 4 / `Z / k . APPL. DATE 00 sC
ELEC. CONTR. eltigi*XX-6/60,c..c-
OWNER
ADDRESS I ) Z (� , / Z
NATURE OF WORK CA r`-n'
;LE C. 4, RV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL/ C
EST. COST 7 y-- • 21 PERMIT FEE /Soo DATE PD.4 23
REMARKS