HomeMy WebLinkAbout0008944-Electric (temporary) C416) CITY OF OSHKOSH No 08944
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC L PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
s S
ADDRESS PLAN NO.
OWNER ,A "( 24 " 44--- #
DESIGNER ^'
USE /NATURE OF WORK �`�
� /
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New El Change ❑ Temp "r Type Volts Amps
Fixtures Switches Receptacles Circuits
- i:21________
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 $ (.5 Permit Permit Fee Paid $ ` O_ �V Park Dedication $
ISSUED BY Date )-- r Final /O.P. C — 7 — 2r7
In the performance of this work I a• -e to perform all work pursuant to rules governing the described construction.
I ll SIGNATURE ∎ ��DA
/ ER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 19 / . APPL. DATE
ELEC. CONTR.
OWNER
PD' E S - .I
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP. N
DESC. TYPE 3 - w -. VOLT 3 AMPS !'
FIX'S RECEPT'I CIRC'S .AC
APPLIANCES V
SIGNS
INSP. ROUGHIN SERVICE W414PDA- ST PEIT FE
REMARKS