HomeMy WebLinkAbout0009152-Electric (a/c) CITY OF OSHKOSH N2 09152
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3 S/ -2 /"SQ `''1 PLAN NO.
OWNER p 0 , - ) 1 B di - A)"2--
DESIGNER
USE /NATURE OF WORK A (ril Co n c+
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 / Y Yl !j .e e/ C..
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches L Receptacles Circuits
V .
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
e_ !9� p
FEES: Valuation $ / 1 "� Permit Fee Paid $ l Park Dedication $
ISSUED BY / 4(1114 1 / -4. Date 2 — g 76 Final /O.P. 7 — r — ZQ
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATORE - /Z-e-4 62 /k/ f
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ,P 7 7,,9 2- A •PL. DT
Air
ELEC. CONTR. C, A0Aw! t / /.4
OWNER
ADDRESS A e _
NATURE OF WORK
ELEC. SERV. NEW
DESC. TYPE CHANGE TEMP.
FIX'S SW'S VOLTS AMPS
APPLIANCES RECEPT'S CIRC'Sr
SIGNS
SP. ROUGHIN SERVICE
EST. COST _i PERMIT FEE . FINAL
v -
RE��C3 DATE D. �