HomeMy WebLinkAbout0000924-Electric (a/c) CITY OF OSHKOSH No 00924
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC A PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 f / ✓ PLAN NO.
OWNER ; a
DESIGNER
USE /NATURE OF WORK C
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stones Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR NO A , e. c /e. c,
Electric Serv. New ❑ Change Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
o '
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 $ / S o -� Permit Fee Paid $ /� �� Park Dedication $
ISSUED BY Date j – 'l / 6 Final /O.P. —1 gh.
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 Z, P 2--
APPL . DAT
Z ---/ -C -7. `/ S -7.
ELEC. CONTR.
OWNER 2 t2. Xi--
ADDRESS :24",/ NATURE OF WORK a / ' ___.
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S S44-- D< RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN_e U , ,, _ SERVICE s U FINAL / ` / ,
EST. COST $ A, ?, ✓ PE RMIT FEE / 2 DATE PD. - //-8,6
REMARKS
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