HomeMy WebLinkAbout0014124-Electric (a/c) CITY OF OSHKOSH N2 14124
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC "PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS Z ( 0 J t ) c i f. it G . PLAN NO.
OWNER 050 H2LZ_ .
DESIGNER
USE /NATURE OF WORK / c .
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
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches v' Receptacles Circuits c-''
A7
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 $ lo 6' Permit Fee Paid $ lo ✓ Park Dedication $
ISSUED BY��% Date ‘- v-1 -
_ X7 Final /O.P. (v --?∎- - 6F7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .62C ,,D,
AGENT /OWNER D E
ADDRESS
TELEPHONE #
PERMIT NO. < ` . APP . DATE
ELEC. CONTR. s
OWNER
ADDRESS C/
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
PESC. TYPE VOLTS AMPS
FIX'S SW ' S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE
,10 J `! ' FINAL / - -- L6- ;
COST _:.
RM T F E 6 DAT PD... '
REMARKS