HomeMy WebLinkAbout0000049-Electric (service change) CITY OF OSHKOSH No 00049
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 75T5
PLAN NO.
OWNER f °L' /;
DESIGNER
USE /NATURE OF WORK (iv,/ /- -
.0Z- 3d z r3 - f D()
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 Or/f[arZere ' C
Electric Serv. New ❑ Change ❑ Temp ❑ Type ±- Volts 'Amps /m - , '6 - Z 6
.3 -
Fixtures Switches Receptacles Circuits
I
PLUMBING CONTRACTOR
- BT — WH _ Disp WSoft
CBasin
Lam _ Sh _ DW DF San. Sewer
— WC — FDr SP Ur Storm Sewer
- Sink LTub _ Eject SS
Water
Other
FEES: Valuation $ ®a a U
Permit Fee Paid $ ,/ Park Dedication $
ISSUED BY # .1 � `� _ J ? Date _ f —84 Final /O.P. — / e'6 — O f�
In the performance of this wo agree to perform all pursuant to rules governing the described construction.
SIGNATURE 6
AGE T /OW ER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. Cr, C/ APPL. DATE - Z — S
ELEC. CONTR.
OWN / .'1
G t2'� - j
ADDRESS S _ Groh°
NATURE OF WORK
ELEC. SERV. NEW CHANGE •
DESC. TYPE _ 3 _ _ TEMP.
FIX'S SW' S� VOLTS /Z o "I" AMPS /O
APPLIANCES RECEPT' CIRC'S
SIGNS ~ "�
�NSP. ROUGHIN S RVICE
�4
EST. COST i�pp 'S -l6
� FINALE Nit' :.
REMARKS PERMIT FEE D ° G DA PD ,{o