HomeMy WebLinkAbout0018947-Electric CITY OF OSHKOSH N° 18947
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC pd PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ A. 6//a //( PLAN NO.
OWNER / "'"' (AO -
DESIGNER
USE /NATURE OF WORK / Q0 4 0 4 0 —.--
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 A 627- �h! C, / (--.
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles r 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
f p G
FEES: Valuati. $
AP' Permit Fee Paid $ '` ` Park Dedication $
ISSUED BY 41 ._ 1 -. Date l` T � Final /O.P. ,‘ / Gp
0
In the performance of t ' work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ‘ -/ DA f0
/2 12)44 A NT /OWNER /
ADDRESS
TELEPHONE #
PERMIT, NO. 61 P DATE S — �7
ELEC. CONTR. � !
OWNER
ADDRESS — *2/
N 0 WO - / A
—
ZLEC. SERV. NEW CHANGE TEMP .
DESC. TYPE VOLTS AMPS
FIX' S -SW' S �� RECEPT' 9 i5/ /, CIRC' s
APPLIANCE'S
SIGNS
INSP. ROUGHINW - - 11 - yp SERVICE FINALC /y -9c
EST. COST 56 PERMIT FEE /6 - -SATE PD.I-"t -9
REMARKS