HomeMy WebLinkAbout0008092-Electric CITY OF OSHKOSH N9 08092
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS // P2— 1 PLAN NO.
OWNER W cZL—
DESIGNER
USE /NATURE OF WORK 60(14 Aln-ec—ed,
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 (r j. t2.k -c_, E f -� e— Al <—
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
)/:) Fixtures .Switches 7\ Receptacles 2< 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
v
FEES: Valuation $ p 5 emit Fee Paid $ `� Park Dedication $
ISSUED BY Date ,- Y-77° Final /O.P. 5 ' —37
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,
AG / WNER DAT
TELEPHONE #
PERMIT NO. APP . DAT ) Y 4 3
r
ELEC. CONTR. �
OWNER ) �(/,C�•9inG�Z
ADDRESS -
NATURE OF WORK 110//lr•-9"ree_,
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S D<.___ SW' S CIRC' S,S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST, COST 72 °../ PERMIT FEE : DATE PD,-
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