HomeMy WebLinkAbout0019690-Electric (garage) CITY OF OSHKOSH N° 19690
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / / / /Oyl YC7 P PLAN NO.
OWNER t'`'v, Bo' S
DESIGNER
USE /NATURE OF WORK Oc2 e djtri Al
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 7/1 _i c71"/ C
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles J Circuits in_ C
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $� 1 ��
ion
Permit Fee Paid $ X1 Park Dedica $
ISSUED BY Date / - 3 1 Final /O.P. i / 7.---F•: ` F:
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' / 7 ! 3 ( -PV
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ! 9d‘i?' APPL. DATE ` C/
ELEC. CONTR. Lit ?Z .fit
OWNER )er
Ggr,".
ADDRESS 73 T -e-
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP,
DESC. TYPE VOLTS AMPS
FIX'$ SW'S y` RECEPT'S X CIRC'S P
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE
EST. COST OO vim a FINALS`'' /9 �0
REMARKS V PERMIT FEE-- DATE PD 'J / - -7D
f