HomeMy WebLinkAbout1994-Electric 43-/
CITY OF OSHKOSH N � 41956
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG El HTG El ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 77O PLAN NO.
OWNER 44t
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 C 7 L1t "
Electric Serv. New Change ❑ emp Type � / G VoIts Amps Am s
p❑ YPe S
Fixtures Switches 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 $ �7 / D 0 . 0 A Permit Fee Paid $ /F?_, Park Dedication $
ISSUED BY ?IVY Date / 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. . APPL . DATE 5 /i /f
ELEC. CONTR. ae/rne.;72.
OWNER /
ADDRESS /77
NATURE OF WORK 2, `1 t / '�
ELEC. SERV. NEW �/� CHANGE TEMP.
DESC. TYPE t 00 c..!`67 VOLTS / ��ztif' o AMPS/000
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE 1�2 /S yc FINAL
EST. COST PERMIT FEE DATE PD.
REMARKS
2.0
23 /
PERMIT NO. . APPL . DATE 5 / (7 1 0 5`
ELEC. CONTR. L G -70.'
OWNER I " "'
ADDRESS / G
NATURE OF WORK
ELEC. SERV. NEW CHANGE
DESC. TYPE U/4 VOLTS 3u) c) AMPS /Oct o
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
,t !
INSP. ROUGHIN SERVICE /2/QSG FINAL
EST. COST PERMIT FEE DATE PD.
REMARKS
c3 S �?a.lt/y VAIP.A
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