HomeMy WebLinkAbout0010718-Electric (move meter outside) CITY OF OSHKOSH N° 10718
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ® PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 YO Ai-JA.b-st-44-- PLAN NO.
_a_s_ec. OWNER
DESIGNER
USE /NATURE OF WORK V0 Mir"( air
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 –.N/ l a 4 t w G
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts ' „ Amps
Fixtures Switches Receptacles Circuits
92 P k
c r 0 1I /04) A4-mA
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 $ of C � Permit Fee Paid $ / — Park Dedication $
ISSUED BY -----m",---7 Date /e - ' -- XJ Final /O.P. 7 - F rf
In the performance of thi k I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE mas 6 / A 6 WNER
ADDRESS
TELEPHONE #
7
PERMIT NO. / AP L. DATE
ELEC. CONTR.
OWNER
ADDRESS 8
NATURE OF WORK
dr•••■•--
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE 3-- c-t — VOLTS / 't AMPS
FIX'S RECEPT''S CIRC ' S
APPLIANCES
SIGNS
INSP . ROUGHIN SERVICE ' - • - F I WiL - rg
EST. COST 7 00 PERMIT FEE z - DATE PD/t1
REMARKS
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