Loading...
HomeMy WebLinkAbout0005953-Electric CITY OF OSHKOSH N9 05953 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT e ADDRESS 2 4 ( 3 PLAN NO. OWNER DESIGNER ��� USE /NATURE OF WORK � ' 2 /°( V 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 — i6.4.6116.64d _ Electric Serv. New �hange 1=1 emp ❑ Type Volts Amps Fixtures _ Switches 1 - Receptacles 4. 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 D °a I/ FEES: Valuation $ 1 D 6�_ Permit Fee Paid $ `� Park Dedication $ ISSUED BY Date L D��e F7 Final /O.P. 1- Y4(P In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Lim •— q2 AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. ® 5! APPL. DATE -- ) 7 7 ELEC. CONTR. .(/J2? _ ADDRESS 2 /5- 11,e :/e NATURE OF WORK /171 1 X ELEC. SERV. NEW D( CHANGE TEMP. DESC. TY 3 — /ti t/ 4 - VOLTS /y it' O AMPS FIX'S SW' S ct' RECEPT"S A( CIRC' S 4 APPLIANCES f SIGNS r INSP. ROUGHIN9 /d( & �{�7� SERVIC 1 4 "7 —�7 FINAL / - 7- ST EST. COST / 2 O'O — PERMIT FEE ©— DATE PD/O -- S7 REMARKS