HomeMy WebLinkAbout0023875-Electric (garage) /CITY OF OSHKOSH N°_ 23875
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECX PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 Y/ I I4 /j' "e PLAN NO.
OWNER ller iinCf/Y)
DESIGNER
USE /NATURE OF WORK 7,,,,i,,
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 f , 9 : 7 -1--t r l —(74 C
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures - Switches t Receptacles L_-- Circuits IGNfr.----
PLUMBING CONTRACTOR
BT WH Disp WSoft Basin
- Lay Sh DW DF an. Sewer
- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
o t0V-eZkt_i.e--- --
®p Permit FEES: Valuation $ Permit Fee Paid $+ - �i -/L Park Dedication $ tj C�
ISSUED BY Date Q7 ''-'"/ < +� `/ Final /O.P. 4 7/'
In the performance of his work I agree o p m all work rsuant to rules governing the described construction.
SIGNATURE I-4 Ze (7 /
..,° AGENT /OWN DATE
ADDRESS
TELEPHONE #
PERMIT NO . ; L APPL . DATE //---02_e - 90 s.,‘„,,,,,,, ELEC. CONTR. J
OWNER � .,-. 1 g:.@�., --,4 __
ADDRESS / 7 / 6 — 2 77_,,e_ 2 1, *
_,,e i--c,
NATURE OF WORK
ELEC. SERV. NEW CH•e E TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW' S D__ RECEPT' S (X CC' S. '
APPLIANCES
SIGNS
INSP . ROUGHIN7� SERVICE F INAL G I7 -9
EST COST / "1� [p "
PERMIT FEE 7_. DATE PD. V' —/y 9 /
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