HomeMy WebLinkAbout0040559-Electric (a/c) CP /
CITY OF OSHKOSH N 40559
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS S 124at_!_t-- PLAN NO
OWNER /17 G kt /ee/
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
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits at.,;
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 $ /00 • c9 0 Permit Fee Paid $ /4 •O a Park Dedication $
ISSUED BY io /� d. Date 7IZ 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 #
Co (2...-
PERMIT NO. 4 �S , APPL. DATE 6/Z7 /9 y
ELEC. CONTR. pee-su
OWNER / ' A4ta e,,{_i
ADDRESS ? 5 /77 #-,--
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S C'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL, 4//t
EST. COST /e0,416, PERMIT FEE /Ado DATE PD 447/20 se
REMARKS
{