HomeMy WebLinkAbout0040152-Electric (011
n CITY OF OSHKOSH N2 40152
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /'Z 1 PLAN NO.
OWNER £ C - 2- AreL--2-
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 I " 6 / /2f) 1 2 `r.4-4-Ci
Electric Serv. New (4Change ❑ Temp ❑ Type 19 /6f L Volts 3641 Amps M 0
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
1
FEES: Valuation 0 0.4 Permit Fee Paid $ 5 • ° -0 Park Dedication $
ISSUED BY �.i.fiif. �..� Date 4/ -0 t Final /O.P. a •3/ 22y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 44"i'd 01/9 L' AGENT /OWNER ATE
ADDRESS
TELEPHONE #
PERMIT NO. V 0 0 46-2.-- . APPL. DATE ?/y7
ELEC. CONTR. 11(
OWNER 11"
ADDRESS /q2-0 "ae-C ji-
NATURE OF WORK
4
{
ELEC. TYP E p CHANGE TEMP.
//d VOLTS .e..4.) AMPS fry FIX'S SW'S RECEPT'S CIRC'
APPLIANCES
SIGNS
INSP . ROUGHIN ' SERVICE F INAL� f3/ 9'
EST. COST 900. ®o PERMIT FEE S "o.ao DATE PD. 2.8
REMARKS a!1_ .� =e1J '/AM
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