HomeMy WebLinkAbout0022866-Electric (temporary) CITY OF OSHKOSH N2 22866
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ® PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c9Y/ 0 5/fre.T Ai4 w PLAN NO.
OWNER CARD tFGkE 0
DESIGNER
USE /NATURE OF WORK 7- /1'►%? cF,e0mcr
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 2wm. E Et-cc
Electric Serv. New ❑ Change ❑ Temp ® Type 14-6 Volts * 410 Amps 6 O
t )29....- - ;‘
Fixtures Switches Receptacles Circuits
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: Valuatio $ � v !_ Permit Fee Paid $ ! ®° Park Dedication $
ISSUED BY � �2r. Date ! 7 9/ Final /O.P. 3 �7 -f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE M; 4-11; l 14— '1
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO.
. APPL. DATE "` !/
ELEC. CONTR. :./ (4,4- " 1
OWNER
ADDRESS � • � �
NATURE OF WORK
CHANGE TEMP .
ELEC. SERV. NEW VOLTS l '�a AMPS P° e
DESC. TYPE 3- w -
FIX'S SW' S RECEPT' S CIRC ' S ` ` nC
APPLIANCES
c
SIGNS 3` 2` FINALS �I' `y
INSP. ROUGHIN _ SERVICE K
EST. COST 5- o ° PERMIT FEE CC J y DATE PD. -p
REMARKS
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