Loading...
HomeMy WebLinkAbout1987-Electric (remodel) CITY OF OSHKOSH N2 06665 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [IyPLBG ❑ SIGN El ZONING FLOOD PLAIN HEIGHT ADDRESS "ea PLAN NO. OWNER /55 Air `�� DESIGNER USE /NATURE OF WORK 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 Fixtures L— Switches Z'" Receptacles L- Circuits "---- 9/C2A, 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 / O ® p 4 FEES: Valuation $ < G Permit Fee Paid $ ,...3- FEES: Dedication $ ISSUED BY Date /s) - - 17 Final /O.P. 1 1' 1 S kV In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _ / - / 7L Z z SIGNATURE �" �� ' 87 / .AGE' ■∎WNER DATE ADDRESS TELEPHONE # HERMIT NO. (' © 66f .APED. DATE / 37 / i ELEC. CONTR. / :::;;;--c OWNER ► L ADDRESS / S NATURE OF WORK , CHANGE TEMP. ELEC. SERV, NEW VOLTS AMPS FI IX' S TY F 5/4/ ' A FIX'S � RECEPT' S ��_ CIRC S \ APPLIANCES SIGNS SERVICE F INAL 4 /5-�� ESSTT. . COST C j2 S. OSTGHIN a = PERMIT FEE 0D °� DATE PD,42 - 47 JEMARKS. f