HomeMy WebLinkAbout0034861-Electric (a/c) CITY OF OSHKOSH N° 34861
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC NY PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS i 93 2- CJ / LS± .
PLAN NO.
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OWNER • IJ WI!
DESIGNER
USE /NATURE OF WORK A l C..
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 S `--M C
Electric Serv. New ❑ Change ❑ Temp 0 Type Volts Amps
c i_9_____
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 '. + 4.1 Permit Fee Paid $ l[ J c v U Park Dedication $
ISSUED BY / 'A j :,/ Date 7' — 7,3 Final /O.P. 7 4 - 7J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE laic, FG { 7 -/q _ ?L
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. ✓ II T .APP DATE 7 -37-- — _
0
ELEC. CONTR. �
-
OWNER / 3..-32--e
ADDRESS /
NATURE OF WORK � -
`� CHANGE TEMP .
ELEC. SERV. NEW VOLTS AMPS
FIXX'' S I 'TYPE SW'S ►L RECEPT'S CIRC'S!x
F
APPLIANCES
SIGNS SERVICE FINAL 7�� '
I ROUGHIN a Q - `— .. PERMIT FEE /� SATE PD .7 ' 9�
EST. COST
REMARKS
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