HomeMy WebLinkAbout0033809-Electric C/2
CITY OF OSHKOSH N9 33809
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [ " PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 90 D /PIO 0 R c PLAN NO.
OWNER -/✓
DESIGNER
USE /NATURE OF WORK R P Na O use
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 DOK c S /P ci*' `t_-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
p& ----
Fixtures t- Switches Receptacles J 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
D'
FEES: Valuati. i $ Permit Fee Paid $ 6 Park Dedication $
ISSUED BY / A/,4 , ' / _! j �i Date — /'Z -/q J 3 Final /O.P. - Y x/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ewe,- .5 <
0000 AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 14g "77k R77 O ��
ELEC. CONTR.
,OWNER
P_DRESS - j GAL
'NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TY$E � _ VOLTS AMPS
FIX'S ((�� SW 'S (1 , N CTRC' S a
APPLIANCES
SIGNS
INSP. ROUGHIN 6'f { �� Y j7/ q ERVI CE F INA7) -`�i - 713
E RK ST 417 PERMIT FFE 70 DATE PD.S /Z--�