HomeMy WebLinkAbout1987-Electric (flag light) CITY OF OSHKOSH N2 06263
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ie PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /10 /t) ' Sielai �/� PLAN NO.
, OWNER i )Lis4' jS
DESIGNER
•
USE /NATURE OF WORK % 4 i r
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 I • _ 1 / /t` C _
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures K Switches Receptacles Circuits V
X1),, -
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
�� -G
FEES: Valuation $''�� Permit Fe Paid $ o2f� Park Dedication $
ISSUED BY -- A// ' � —i Date !/`- / Y7 Final /O.P. `i —1 1 6 — `O 7
In the performance of this wt agree to perform all work pursuant to rules governing the described construction.
, � SIGNATURE / jjjji, �I/
AGE /OWNER _AA'
� `
DATE
ADDRESS
TELEPHONE #
P RMIT NO. D Gi 6 . APPL. DAT C ` 7
E C . CON TR . /1 _.‘ -../4•01., _ i
OWNER / 4e)--<-c/L-6
ADDRESS / 7 d - ''
NATURE OF WORK i'(4
ELEC. SERV. NEW CH :1 GE TEMP.
DESC. TYP V•LTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLI ANCES Of---
SIGNS
INSP. ROUGHIN SERVI CE FINAL 1 /k "$7
EST. COST 5 0 � - = PERMIT FEE oO" '---:-- PD . //71h 71
REMARKS
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