HomeMy WebLinkAbout0047521-Electric CITY OF OSHKOSH N° ^ 47521
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC !jf PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 'S' PLAN NO.
OWNER
DESIGNER L
USE /NATURE OF WORK �iN A.eia9?
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
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
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 $ O 0 • 0 0 Permit Fee Paid $ °
Q. 2----° • m Park Dedication $
ISSUED BY 4 Date Jo /5t /91 r-
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 #
71 -7/9 i
PERMIT NO. 1 7 S R- / . APPL . DATE
ELEC. CONTR. s
OWNER
ADDRESS 7'f
NATURE OF WORK /7
EEC 'SERV. NEW CHANGE TEMP.
pESC. TYPE VOLTS AMPS
F X'S SW'S RECEPT'S CIRC'S
APPLIAN S
SNSPS OSTGHIN yik SERVICE FINAL
. PERMIT FEE 2m DATE PD EST . COST 44-o 4I (
EST.
BARKS