HomeMy WebLinkAbout1992-Electric (fixtures) CITY OF OSHKOSH N° 27338
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //0 —
PLAN NO.
OWNER A7 "�
DESIGNER
/
USE /NATURE OF WORK ,ii — U zi ,
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 /t J' -12920/cesS
Electric Serv. New I] Change ❑ Temp ❑ Type Volts Amps (0--
Fixtures I_ 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: Valuati.n $ 7 ee, -� Permit Fee Paid 1 ��
$ / Park Dedication $
/
ISSUED BY ��/ i Date - /2 - 7: 2 -
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE " CAE
AGENT /OWNER _ ��
DATE
ADDRESS
TELEPHONE #
PERMIT NO. 733 . APPL. DATE / V 2 `%
ELEC. CONTR. 7
OWNER &G�c'�=L
ADDRESS 1 r0 f — 47
NATURE OF WORK / /�
�
ELEC. SERV. NEW ANGE TEMP,
DESC. E VOLTSS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP ROUGHIN SERVICE FINAL
EST. COST /,, ra 0:1
,, PERMIT FEE /b3. 7Y DATE PD .2 - 42 - 9-
REMARKS /
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