HomeMy WebLinkAbout1993-Electric (temporary) CITY OF OSHKOSH N° 37352
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECJ PLBG ❑ SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS a 0 0 �}'U�i� —� PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C p Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Tem / Type %l Volts3 Amps /
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 $ SO. v o Permit Fee Paid $ ° X Park Dedication $
ISSUED BY Date / b 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 4 - / L / /� d' - P 3
W ENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 373 C7-- . APPL. DATE / //
ELEC. CONTR. C?r'm
OWNER 61.LGu.4a G
ADDRESS /414 0 /e
NATURE OF WORK
ELEC. SERV. NEW CHANGE EM$?
DESC. TYPE cs7i6 VOLTS ?GCI AMPS /
SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE 1/7////0 3 FINAL
EST. COST ''0 •o o PERMIT FEE n o DATE PD /2/30/43
REMARKS
Got
PERMIT NO . APPL. DATE Z�i j -i
ELEC CONTR.
OWNER
ADD S w?"
NATURE OF WORK
EC. ERV. NEW CHANGE
C. TYPE '� " i . S
FIX'S SW' S 1017 ° VOLTS 0 i, S .
A PLI ANCES RECEPT' CIRC'S
GN
NSP ROUGH N SERVICE
EST. COST �q FINAL 5- 47/
REMARKS PERM T FEE /0.ea DATE PD.