HomeMy WebLinkAbout1990-Electric (new pump moduels) CITY OF OSHKOSH N°_ 17944
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECJ( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ` f v _ L - ' ._■ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK (A //t/,' /i•-t-v -1) 6; '-)‘lj-441-4
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
ELECTRIC CONTRACTOR s ,i/4— C�f�e� ��-0
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles ' _ /�' Circuits
�L a / CG ,ze`9 ' s' X2---
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 $ . � Permit Fee Paid $ / 6 ? 6 - Park Dedication $
ISSUED BY Date 171—/..2---.7G1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE �� , �� l 1('-/e--
7 AGENT /OWNER 7
DATE
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ADDRESS` - / L % V1(41,7% ) U �b°Mti y y3- • 2 7y
TELEPHONE #
PERMIT NO . / L y .APL. DATE 1-
ELEC. CONTR.
•
OWNER
ADDRESS ` / .0.3
NATURE OF WORK
/h s -v c.e.&
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'SX
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST 'fi — PERMIT FEE/15 PD.VY2'fe
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