HomeMy WebLinkAbout0022920-Electric r CITY OF OSHKOSH N° 22920
it PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Ilt ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ° ""-- PLAN NO.
OWNER .166212 -c ,,,Z1-/-(—
4.
DESIGNER
USE /NATURE OF WORK 9 C44--- " --4 " —
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
O .
ELECTRIC CONTRACTOR
Electric Serv. New change ❑ Temp ❑ Type XV Volts / ' Amps
Fixtures 'L.-- Switches �.. Receptacles `� Circuits 39_k.
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
S 0 Q pG
FEES: Valuation $ / Permit Fee Paid $ , �� Park Dedication $
ISSUED BY /.� 00/ Date / 7 / /a — 9 / Final /O.P. to - .. n - y
1
In the performance of this work I a• ree to perform all work pursuant to rules governing the described construction.
SIGNATURE
, � /
G ENT /0W4 DATE
ADDRESS
TELEPHONE #
PERMIT NO . < D . APPL • DATE - 6 V 7/
■
i 4 ELEC. CONTR. ����'�'► r
OWNER ( 7°`'
C
• ADDRESS 2 5 'C
NATURE OF WORK "g'
ELEC. SERV. NEW CHANGE TEMP. ,
DESC. TYPE f " " _ v' 4- VOLTS )" - %rtd AMPS / 0
FIX'S SW'S RECEPT'S ✓ e '
_. CIRC'S
APPL.ANCES
SIGNS r - 2D - '/ AaimmELMELM INSP. ROUGH N WI 57/7116 LC MAMIE IA Mi—Or SO S
E'ST. COST /2,0 a f_ PERMIT FEE 5`0 °/ DATE PD . 4-0-- It
FEMARKS
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