HomeMy WebLinkAbout1994-Electric 64
CITY OF OSHKOSH N ° - 38142
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ® PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e2 J:0 Yf PLAN NO.
OWNER l�f_d • 6/c.4. /e/l -u -
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 -oot Grt.�Y
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps /
Fixtures — /Switches / 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
FEES: Valuation 400 01 0 O Permit Fee Paid $ FC• a ✓f
Park Dedication $
ISSUED BY Date z/2 Y /99
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
/9 (r, 93
PERMIT NO. 3i/ T y . APPL. DATE //'9
E C. CONTR. ,,.ii
OWNER !/ h " a 6 -
ADDRESS 2 0 "
NATURE OF WORK �,
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS /
INSP. ROUGH)N /////4� SERVICE FINAL
EST. COST 00 ( o o� PERMIT FEE va DATE PD . 2 5/4
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