HomeMy WebLinkAbout0024361-Electric (a/c) CITY OF OSHKOSH N°_ 24361
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC or PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Irk ''
• �!r 1 PLAN NO.
OWNER _ vim. I►zria= 4 -
DESIGNER
USE /NATURE OF WORK A10)40
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR) / IJ - t/11(
Electric Serv. New ❑ Change ❑ Tem Type Volts Amps
Fixtures Switches Receptacles l Circuits /
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
I
FEES: Valuation $ J Permit Fee Paid $ lB '—� Park Dedication $
ISSUED BY Date 7 - /7 -,/ Final /O.P. _/ 9' _ 7/
In the performance of this •rk I .tree to perform all suant to rules governing the described construction.
SIGNATURE / 44._ 2 /1 cf/
// AGENT /OW ER // dAfE
ADDRESS
TELEPHONE #
2,`-36
PERMIT NO. APPL. DAT - "/ s .. ELEC. CONTR. r", 4,
OWNER ZICSZ; j';;
ADDRESS „Z 7 /f - on,
NATURE OF WORK
ELEC. SERV. NEW C am- CHANGE TEMP.
*ESC. TYPE VOLTS AMPS
FIX'S SW'S pc .. RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP . ROUGHIN SERVICE FINAL 7 /f -9/
EST. COST cod PERMIT FEE /d DATE PD.7 - /Y
REMARKS