HomeMy WebLinkAbout0014125-Electric (a/c) C■11-) CITY OF OSHKOSH N° 14125
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Ar ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 1(7 & Jobe • PLAN NO.
OWNER is rd Cam-() b k 2.
DESIGNER
USE /NATURE OF WORK A ' 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
Electric Serv. New ❑ Change ❑ Temp Type Volts Amps
9 )C)—
Fixtures Switches Receptacles Circuits 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
FEES: Valuation $ O Permit Fee Paid $ l® / Park Dedication $
ISSUED BY Date ' _ .0 ‘ - 7? Final /O.P. ‘ � — 87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / -,- c Gl4 (07
AGENT /OWNER D TA E
ADDRESS
TELEPHONE #
PERMIT NO. 44 / .'? 5 . APPL . DATE - — KP ELEC. CONTR. �� -'rs %r
OWNER 4,L,, , / _ o
ADDRESS / / 7 ` �� ,
NATURE OF WORK �
ELEC. SERV. NEW ��- CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S 2 RECEPT'S CIRC'S -
APPLIANCES
SIGNS FINAIf
EST ST . . COST / (7 �
I ROUGHIN � PERMIT FEE /O DATE PD .6 :24-11
REMARKS
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