HomeMy WebLinkAbout0002687-Electric CITY OF OSHKOSH N o 02687
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS P 6*--12-- _e__„....„,.„,_..<_e____, PLAN NO.
46/.f
OWNER - / �c.tJ
DESIGNER
USE /NATURE OF WORK e
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 c7:1_07,.______".. ..–e---),---
Electric Serv. NewChan e u
g ❑ Temp Type Vo T y .44Amps lOG
Fixtures Switches / Receptacles P ii Circuits
AC \
PLUMBING CONTRACTOR
BT WH _ Disp WSoft
— CBasin
__Lay _ Sh _ DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
Sink _ LTub __Eject SS
Water
Other
FEES: Valuation / .e,-;....: S' Permit Fee Paid $ (5 Park Dedication $
ISSUED BY �� /-� . _ Date f " 2 O 7 Final /O.P. 3-,2 717
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE /I f ! ..P— .,
/ A pr AGENT /OWNER
D ATE
ADDRESS
TELEPHONE #
PERMIT NO. 0 2 ? APPL. DATk
E. • ON R. ✓ / /.��,; ��
OWNER
••.
• • - , .114 I =
ELEC. SERV. NEW CHAN E TEMP.
DESC. TYPE 7 - Gt ) VOLTS / 'o AMPS /6' G
, IX'S Ik f � RECEPT'Z < CIRC'S
.a_. _. _ i. _. �.� .. I i
MT. . •S 4.11441C ?21
REMARKS
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