HomeMy WebLinkAbout0012399-Electric CITY OF OSHKOSH N2 12399
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC {LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS �`� �� •____ PLAN NO.
OWNER � .- ; .- e-Cci+--e 42
DESIGNER
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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 "1�- '&'"
C L (� /
Electric Serv. New E hange ❑ Temp ❑ TypelA / Volts ? l o Amps - TJ
Fixtures •------ Switches ti Receptacles Li Circuits i-------'
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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
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FEES: Valuati • n $ /� ` P ermit Fee Paid $ �� `' V Park Dedicatiion / $
ISSUED BY 0 % Date o '- 449 ' / q Final /O.P. 7 /1/17'
In the performance of this work I agree to perform :II work pursuant to rules governing the described construction.
All - , = 0 SIGNATURE �► � 2 2 G-
NT/ WNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. / ,2-3 � . APPL. DATE 7- ^ g
ELEC. CONTR.
OWNER
ADDRESS 3 —
NATURE OF WORK
A
ELEC. SERV. NEW DC CHANGE TEMP.
DESC. TYPE 3 _ w - v2 - VOLTS '' AMPS /G'
FIX'S W' S X 0 RECEP S ��{ CIRC' S `Y
APPLIANCES G2 -C �/
SIGNS et(' v)
INSP. ROUGHIN C - 2 s - SERVICE Or f-4.2 J '1'' 1
EST. COST 1,7,00 ! PERMIT FEE yag —DATE PD. Z . X39
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