HomeMy WebLinkAbout0020314-Electric CITY OF OSHKOSH N2 20314
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC -PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 33..5 - / ,
/ PLAN NO.
OWNER / , / '
DESIGNER
USE /NATURE OF WORK L� r.. 2—c-4..-^j_cC
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 .,"i
7 `� d
Electric Serv. New Change Di Temp ❑ Type/ Volts 7 Amps
Fixtures 7/ Switches L Receptacles L Circuits `1
,C,
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: Valuation $ ! O ( / -------- �-.
" -r Permit Fee Paid $ Sa -
/y p Park Dedication $
ISSUED BY r�-° - 1 Date f" / `/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,
SI GNATURE �� __
# 4 /OWNER
DATE
ADDRESS
TELEPHONE #
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OWNER ..■ riiwoo,
ADDRE S e -15 --- 7 .
NATURE OF WORK ..
C. SERV. NEW ea, CHANGE TEMP.
• C. TYPE - VOLTS ›- cfC) AMPS c0
FIX'S ' SW'S I RECEPT ' S i CIRC ' S A
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APP ANCES r
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INSP . ROUGH rallar=4011119g1MMMANOTai7 FINAL10-z249
EST. COST 0 • -ERMIT FEE r ■----DATE PD.' - -
R MARKS
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