HomeMy WebLinkAbout0008090-Electric CITY OF OSHKOSH N9 08090
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 4 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6r--)14t)-- PLAN NO.
OWNER \ c
r C,44,12i+1-4--e.--
DESIGNER
USE /NATURE OF WORK is c4.---I/1 .. ee-i--2-1.--,--ci61
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 14) L tZ J—f Tel L
Electric Serv. New ❑ Change El Temp ❑ Type Volts Amps
Fixtures D< Switches 7< Receptacles < Circuits .970C)
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
--- V C
FEES: Valuation $ Permit Fee Paid $ / 02—e J_ Park Dedication $
ISSUED BY Date 7-- G Final /O.P. 5 -9gr
In the performance of this work I agree to perform all work pursuant o rules governing the described construction.
SIGNATURE /6P
AGENT /OWNER O
ADDRESS
TELEPHONE #
PERMIT NO. o
P 5-2 AP'L. D • E
/
'
ELEC. CONTR. W / � ( ' .�
OWNER �-C"C; �
r�2ir,.fi n
ADDRE � / ay/z1,1--e.
NATURE OF WORK aaA r/ 'Nt
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S DL SW'S P‹ RECEPT' S D CIRC' S A
APPLIANCES
SIGNS (��
INSP. ROU HIN(O /'- .3 '23- 7S' SERVICE FINALS' -7-$
EST. COST FE EDATE PD* 8$
REMARKS