HomeMy WebLinkAbout0007881-Electric (temporary) CITY OF OSHKOSH N°_ 07881
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC - PPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 20'9.' � «�� PLAN NO.
of OWNER ��
DESIGNER
USE /NATURE OF WORK
6 ®�
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /S stem Heat Loss BTU'S
/
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp IE Type Volts Amps
Fixtures Switches Receptacles Circuits
9/ip r
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
1-�( C--2------ !O
FEES: Valuation $ Permit Fee Paid $ sr / l
Park Dedicatioon�$ Q�
ISSUED BY Date , g-O ZYFinal /O.P. ! �4 — gU
In the performance of this work I agree to perform :II work pursuant to rules governing the described construction.
SIGNATURE '�_ ✓ - �� ,e3-?
NT •WNER DATE •
ADDRESS
TELEPHONE #
5
PERMIT NO. 0.222g_ APPL. DATE 1 - —�
ELEC. CONTR. •
OWNER ! �
ADDRESS ,.O ,/ l °
NATURE OF WORK
ELEC. SERV. NEW CHANGE
DESC . TYPE �? 1-4--- �, TEMP. °�
4 VOLTS L �- AMPS , o
FIX'S SW' S
.4
APPLIANCES RECEPT'� CIRC'S
SIGNS 14/WYAK?
INSP . ROUGHIN � a SERVICE �l`�` �{ rFINAL q-�z
EST. COST ..5 �! PERMIT FEE ¥ vc DATE PD f
REMARKS
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