HomeMy WebLinkAbout0002205-Electric CITY OF OSHKOSH N2 02205
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS C9 9 1 i - - _ PLAN NO
OWNER -ii vt., T (/_- CL.y. A
DESIGNER //
USE /NATURE OF WORK e,o i 1J` ( 0 F A L' a -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 N -S 7/e.t_ i" * [e("7
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures L/— Switches L ----- Receptacles 1------ Circuits O
l
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
d G
FEES: Valuation $ ; D Permit Fee Paid $ �4 ` Park Dedication $ c
ISSUED BY �/�4�,� L! i Date /� — 1 ` Y(p Final /O.P.1 � — D,6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR /a / � %Z
AGENT /OWNER DAT
ADDRESS
TELEPHONE #
PERMIT NO .O / y ® � APPL. DATE 7 -7, O�
ELEC. CONTR. 21e
OWNER (,)
ADDRESS t /?• 1 7W i'/''��f/73' f
NATURE OF WORK
ELEC. SERV. NEW CH1`GE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S _PCSW'S � RECEPT'S D_ CIRC'S
APPLIANCES
SIGNS
INSP ROUGHIR X 9 ®LS " SERVICE FINAL J9`'
EST. COST 7C)e° PERMIT FEE « DATE PD/24436
REMARKS
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