HomeMy WebLinkAbout0012398-Electric CITY OF OSHKOSH No 12398
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 2‹:LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER Z >`L
DESIGNER
USE /NATURE OF WORK
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 al
Electric Serv. New EChange ❑ Temp ❑ Type1 ' Volts , Amps
Fixtures 1------- Switches Receptacles L Circuits r
PLUMBING CONTRACTOR
- BT WH Disp WSoft CBasin
- Lay — Sh _ DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
2 C
FEES: Valuation $ L.A Q 0 Permit Fee Paid $ 50 ` / Park Dedication $
ISSUED BY Date — 4.- -° ----2 Final /O.P. --(39
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
/
. t / , _ -if/ Xvr SIGNATURE / / '� j - A GE N
A /0 WNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ` ?-3 7r . APPL . D TE
ELEC. CONTR. C
OWNER
ADDRESS L- ,‘ ��
NATURE OF WORK /fir/
ELEC. SERV. NEW OS' CHANGE TEMP.
DESC. TYPE 3 / G 0 VOLTS /->-$V '-f&' AMPS /&
FIX'S /N. SW'S RECEPT'S V, . .CIaC'S kite-
AP `LIANCES ("60 , '"`'''
SIGNS " -
NSP. ROUGH N " N > - -'Ii SERV CE - IN
EST. COST /.20a PERMIT FEE 5' --DATE PD..2 �!
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