HomeMy WebLinkAbout0047520-Electric b iz
CITY OF OSHKOSH N ° - 47520
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 31 3 ` -a-e—
PLAN NO.
OWNER
DESIGNER /�
USE /NATURE OF WORK A ,
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 41-,/t/k-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles 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
FEES: Valuation $ gap • o p Permit D + O o ✓
t Fee P aid $ Park Dedication $
ISSUED BY 2.-.4'."-- Date / _ 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. 'T 7 S . APPL . DATE M . / / C
ELEC. CONTR. / o
OWNER
CRESS 1313
NATURE OF WORK 6AZA. O -n-# - 7 :1 `mil
C, SERV. NEW CHANGE TEMP.
D SC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
;NSP. ROUGHIN SERVICE FINAL
EST. COST t c .o PERMIT FEE Z4 DATE PD. /o /4 /9,,r
REMARKS