HomeMy WebLinkAbout1994-Electric (temporary) (0
Cli -) CITY OF OSHKOSH N ° - 39168
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECy PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7 9e �(�iC PLAN NO.
OWNER
____,-etteeed
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 aejm-
Electric Serv. New ❑ Change ❑ T� Type f [ ' Volts Am C
/ 3 W s P
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 $ --S . Permit Fee Paid $ /0 ' v e.2i Park Dedication $
ISSUED BY Date ,s�9 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 #
10
PERMIT NO. : /0 > .APPL. DATE
ELEC. CONTR. C4i..e2/4/ .G�
OWNER lam"'
ADDRESS /'p' � �^' 4;/`t
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP
DESC. TYPE VOLTS 3.0 AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS ✓ ,,•/
INSP. ROUGHIN SERVICE 4 /9 4l FINAL
EST. COST Sb.o a PERMIT FEE/0 DATE PD.`4r y
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