Loading...
HomeMy WebLinkAbout0032668-Electric (circuits) CITY OF OSHKOSH N2 32668 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC pf PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS r 1I 1itML. PLAN NO. OWNER )1/3. € / le- C t DESIGNER USE /NATURE OF WORK 6acu, iii, 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 Ara r i 2- / -' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles r'( Circuits 7(' C)1(9.' 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: Valuatio ` ©j:--- Permit Fee Paid $ zo ' 9 Park Dedication $ ISSUED BY Date 2 — -1)----- Final /O.P. _` =-"-- S "" 7 ,3 In the performance of th wo k agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 AGEN R / D ADDRESS TELEPHONE # PERMIT NO. 3 6f. .APP . DATE / %,- 7 J ELEC. CONTR. OWNER 97.262'. oC? ) l ADDRESS / ( ` NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX'S SW'S RECEP _CIRC' APPLIANCES SIGNS INSP. ROUGHIN SERVICE FINAL 1- -7•`b "' EST. COST VUO PERMIT FEE 20 DATE PD,1- /2-j REMARKS f