HomeMy WebLinkAbout0022234-Electric CITY OF OSHKOSH N°_ 22234
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [CBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c 7 PLAN NO.
OWNER „.L`-4.
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
4 ELECTRIC CONTRACTOR ? / ,
Electric Serv. New Change III Temp ❑ Type,/ Volts /2 ` /J
Amps '
Fixtures A c Switches X Receptacles / AC Circuits a< " &c ) -
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: Valuatio $ e Permit Fee Paid $ ,-.3 Park Dedication $
ISSUED BY Date /—/ F` 9/ Final /O.P. y' Ohl
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .1 i 1 _4.. ./ , // 7/
, NT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ' APPL= DATE _ '-/- 7
•
EL C. CONTR. . /// / et
OWNER ..1 C>40-",1(2"-e---"c ,
ADDRESS _ , 7 :-,2
NATURE OF WORK
ELEC. SERV. NEW ° el - - CHANGE TEMP.
DESC. TYPE 3 w — v -&" VOLTS l �/' -i AMPS / 496
FIX'S D<_ SW'S RECEPT'S A CIRC'S
APPLIANCES eo___,V---et--7) /�'
SIGNS f'
INSP . ROUGHIN0� ' ,1-6 - '1/ SERVICE y - ' 6 F INAL 1 - Y! EST. COST /,5 0 e `- PERMIT FE o °DATE PD.P) l
REMARKS /tom' -''' f
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