HomeMy WebLinkAbout0007882-Electric CITY OF OSHKOSH N2 07882
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC to -PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2O f / � ��(- PLAN NO
OWNER . L'eA .
DESIGNER
USE /NATURE OF WORK .. l
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 ZL---:"';; ' --ifs-c)
Electric Serv. New Change ❑ Temp ❑ Type Volts Amps
Fixtures `' Switches Receptacles L- ` Circuits c_______ pp..-
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
FEES: Valuation $ Permit Fee Paid $ 50 Park Dedication $
ISSUED BY ' Date 7 - - 2 " $ - r r Final /O.P. °Z 'B 7
In the performance of�ia work I agree t. •erform all work pursuant to rules governing the described construction.
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SIGNATURE , / U
/ ,=� ".WNER D ATE
ADDRESS
TELEPHONE #
PERMIT NO. 70 4..„ G Ap . DATE - 2 7 -8-
ELEC. CONTR.
OWNER
ADDRESS ° 7-a / ` f 1° S
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC . TYPE 3 w -- V - VOLTS / O AMPS/ a
FIX'S Dc SW'S RECEPT'S DS CIRC'S
APPLIANCES 6,e V
SIGNS - � /
INSP. ROUGHIN - f ? SERVIC FIN A# `
EST_ COST r. • / PERMIT FEE e.��� ' ,
REMARKS ' '�r
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