HomeMy WebLinkAbout0024673-Electric CITY OF OSHKOSH N° 24673
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC El PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (9d SN E Ii4 ti PLAN NO.
OWNER n
DESIGNER CA R R; D KF 2
USE /NATURE OF WORK
1).51 /t- WO cr. SC
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 2w2-6g S ELEC.
Electric Serv. New FRL Change ❑ Temp ❑ Type 4 . 6 Volts/ 1 40 Amps "0 0
19
Fixtures 7 Switches Receptacles X 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
c-
FEES: Valuation $ / et �—� C
( Permit Fee Paid $ Q C7 Park Dedication $
ISSUED BY Date t - J t Final /O.P. A> - dt
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ..4?4 3 g "- 5/
A GENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ��(% f y . APPL . DATE 7 l b
ELEC. CONTR. � ,.e%w�er,; :4Z%
OWNER (N.60e-c-,L4
ADDRESS Q
J
NATURE OF WORK d /�
ELEC. SERV. NEW DC CHANGE TEMP.
DESC. TYPE !/ 4 VOLTS AMPS le a
FIX'S DC._ SW'S ke RECEPT'S CIRC'S
ANCES .. V
S / � �
NSP. ROUG N • riratIM - , ,ik 'j 7- - FINALLIMP
ES . COST PERMIT FEE , = DATE PD
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