HomeMy WebLinkAbout0040566-Electric (a/c) to /z,
CITY OF OSHKOSH N2 40566
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC%PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS gD / / PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
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 m
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
FEES: Valuation /00 0 " C ' Permit Fee Paid $ /O• o
Park Dedication $
ISSUED BY Date 7/ 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 #
PERMIT NO. VO 6 . APPL . DATE 6//Z--44e
ELEC. CONTR.1,444/
OWNER
ADDRESS /170,e -e
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE F INAL�D
EST. COST /o o • o PERMIT FEE /o. 0 DATE PD. y -i /9
MKS