HomeMy WebLinkAbout1993-Electric (remodel) ‘ti3
CITY OF OSHKOSH N ° - 35187
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Sa PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 5 5 % 5 /4e✓ (,/•e k PLAN NO.
OWNER / th ) UPI /
DESIGNER
USE /NATURE OF WORK ,e)OP C t p -ell o ¢i
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 / /C If G /rc
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
(9------------
Fixtures Switches 2C Receptacles Circuits
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
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FEES: Valuation $ 3 d0 �– Permit Fee Paid $ F _ Park Dedication $
ISSUED BY Date
7
-- e.Z7 73 Final /O.P../Y ini.• •
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Li& ' //a " 7
0 AGENT /OWNER /� DATE
ADDRESS Ie9 y S_ 0 74 f' ' # 1 D 5(4 4 4 5 t ( - 2 t ( - 2 p ‘ 7 r /3
TELEPHONE #
PERMIT NO . 3 5 77 . APPL . D TE ‘ /e
ELEC. CONTR. 223./e-'
OWNER 'd 1 6437'
ADDRESS / 3 S `' / /
NATURE OF WORK < �►
.fit -e-s -K
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYP VOLTS AMPS
FIX'S (- SW'S °'c RECEPT'S CIRC'S
APPLIANCES
S I'GNS L
INSP. ROUGHI C- C9 - g 2 SERVICE FINAI)' V -
EST. COST 7Y--m, X642= =PERMIT FEE 8'5 �- DATE PD. 7-27-71
REMARKS
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