HomeMy WebLinkAbout0021853-Electric (correct violations) CITY OF OSHKOSH N° 21853
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC g PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ > - 1' V' 'le t PLAN NO.
OWNER s
DESIGNER ���_1'60�
USE /NATURE OF WORK C�9 /��Gt"J�h1$
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 r 0 1 f __.(t -AI i t
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits ,k" - 2 . G2---- -
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
c J
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FEES: Valuation $ ` �/ Permit Fee Paid $ 1' Park Dedication $
ISSUED BY Date / —/ i i `!: Final /O.P. 7Z —/ 44!70
In the performance of ark I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 /L L _ 2 J Q�(
/ / /� v D /,, ! V
AGENT /OWNE'
ADDRESS
TELEPHONE #
PERMIT NO. °� �✓ _3 • APPL • ! • TE /------ / 7
i
ELEC. CONTR. r -
- '
OWNER R Ao
ADDRESS ‘ 722GV-/7--/
NA;'URE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPO VOLTS AMPS
FIX'S W' S _RECEPT'S o‹ CIRC' S C
APPLIANCES
SIGNS
EST. OSTGHIN PERMIT FEE N
FEE/ a u ./ - DATEPDp /� O
EST. COST t D ° �---
REMARKS
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