HomeMy WebLinkAbout0045489-Electric (remodel kitchen) 6/z--
46) CITY OF OSHKOSH N ° - 45489
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC % PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 90 5 PO-1.0-61- PLAN NO.
OWNER kG[.t/len ��ti,
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 11-de-C
Electric Serv. New ❑ Change Temp ❑ Type Volts Amps
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
�o
FEES: Valuation $ oo. o Permit Fee Paid $ /-S • ° ° Park Dedication $
ISSUED BY /44-t411 41/ Date � N'7 S
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 #
PERMIT NO. r . APPL. DATE ced/ 45 S�
ELEC. CONTR. 614A-4-(4.5
OWNER K ,Z�
ADDRESS 90 I
1.41M,Z OF WORK
ZLEC! SERV. NEW CHANGE TEMP.
FIX'S SW'S RECEPT' CIRC'
APPLIANCES
SIGNS
INSP. ROUGfIN SERVICE FINAL
EST. COST 'Z' ° PERMIT FEE DATE PD A /f43'
REMARKS