HomeMy WebLinkAbout0029660-Electric (fixtures) CITY OF OSHKOSH N° 29660
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ! 0 / 3 -11'7 it — 5 7 . PLAN NO.
OWNER S T � . r _ r Z C! �L/
DESIGNER n `
USE /NATURE OF WORK ►` -' ` �t L -C Ay , / -- 1
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 / 7 L C 7 t tr
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits °D--
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
G s � ✓
FEES: Valuation eta d '—'� Permit Fee Paid $ � Park Dedication $
ISSUED BY Date , * / J _ 2 Final /O.P.
In the performance of this work I agree to perform a I work pursuant to rules governing the described construction.
1
SIGNATURE _ 'LW - _ Artte 7 / 3 ;
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. -, ? 6.0 ppPL. DATE ‘ --1/
ELEC. CONTR. "2;7 F:- g ��`�
OWNER P -''
ADDRESS
/D — 4 7. ,
NATURE OF WORK
/� / — w ,�� ` A . A
ZLEC. SERV. NEW !/GE TEMP
DESC. TYP VO T AMP
F X' P SW'S RECEPT'S CI 'S
APPLIANCES
SIGNS SERVICE F NAL
INSP. ROUGHIN DATE PD7`��'
EST. COST /5e1‘70-- PERMIT FEE
REMARKS
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