HomeMy WebLinkAbout0005950-Electric (temporary) n CITY OF OSHKOSH N2 05950
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC { PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS atZ5 -7- -- .A, +
•� PLAN NO.
OWNER , 7
DESIGNER �
USE /NATURE OF WORK /� 7 '� Lj
4°L----
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 Ze ---y- ge.
Electric Serv. New [Change ❑ Temp ❑ Type Volts Amps Z °-r) •
I/- Fixtures Switches v Receptacles !/ Circuits `f ,g)----
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ilw.fl 5-0''_ Permit Fee Paid $ 4 / �-"-' Park Dedication $
ISSUED BY Date �� -0.2 -' - 7 7 Final /O.P. O v�7 -77
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,i / ` ' / D a0 "77
/ AG - T/O DATE
ADDRESS
TELEPHONE #
PERMIT NO. Q qf C/ APPL. DATE - -2 7
7
ELEC. CONTR.
OWNER V ee-1
ADDRESS 5 !, //yy
5
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP P{
DESC . TYPE 3 - w - U VOLTS 1 ' AMPS 66
FIX'S S 'S RECEP S -._ CIRC'
APPLIANCES
SIGNS t V
INSP. ROUGHIN , ,j SERVICE e t:0 ` 7?J'7 FINAL�2 =y7
EST. COST -S ✓ PERMIT FEE it -- PD10:7 08j
REMARKS
f