HomeMy WebLinkAbout0027883-Electric (temporary) 46) CITY OF OSHKOSH N° 27883
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELE PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 ` ' �" ,
PLAN NO.
OWNER i '`
DESIGNER
USE /NATURE OF WORK g. !�'�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories
Height
Foundation Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /Sy m Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp Type 2'�0� Amps 0
C
Fixtures ! Switches Receptacles
P-_ Circuits
PLUMBING CONTRACTOR
BT WH Disp _ WSoft
CBasin
- Lav _ Sh _ Dye DF
San. Sewer
— WC FDr SP Ur
Storm Sewer
- Sink LTub Eject SS
Water
Other
FEES: ValuationQ a' u
` Permit Fee Paid $ � � Park Dedication $
ISSUED BY Date
O D _ 72-- Final /O.P. 3 `4. 7" 72__._
In the performance of this work I agree to perfor, all work pursuant to rules governing the described construction.
/
"j
SIGNATURE �— --m '
• WNER
, DATE
ADDRESS
TELEPHONE #
PERM T NO. 27nr , . APP
i
ELEC. CONTR.
�
OWNER �L
ADDRESS v I /45 -
`
NATURE OF WORK
ELEC. SERV. NEW , TEMP. O(
DFSC. TYPE ? - G 0 — ti:-1 VOLTS 133 6 AMPS G G
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES d - )
SIGNS /
INSP. ROUGHIN SERVICE Di(- 5 -2J -y2- FINAL 3-.2-7-5'1-
EST. COST 506t2 PERMIT FEE /o— DATE PD3 - 3d -/
REMARKS