HomeMy WebLinkAbout0008936-Electric (temporary) CITY OF OSHKOSH N2 08936
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [rPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �� / ` �! D c ' v PLAN NO.
4
OWNER ! 'am.
DESIGNER
USE /NATURE OF WORK 4 19,
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 ,e- fr-4.--
Electric Serv. New Chan a a'
❑ g ❑ Temp [� /Type Volts Amp
Fixtures Switches Receptacles Circuits 120------
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 $ /< Park Dedication $
ISSUED BY �2 !�
Date Z .2 7P Final /O.P. 6 — —' ��
In the performance of this• I agree to •erform all work pursuant to rules governing the described construction.
i /
SIGNATURE �- �� � %I ► i •i�t . Z� �er-
if 1`p1r'�Y►' R DATE
ADDRESS
TELEPHONE #
PERMIT NO. 6-<- ) 6 APPL, DATE
ELEC. CONTR.
OWNER 'r1 4 • /
ADDRESS 4Y//l/ i� anZ4-0%
NATURE OF WORK
ELEC. SERV. N W CHANGE TEMP.'
DESC . TYPE - u- VOLTS L 3 V AMPS c O'
FIX'S SW'S RECEPT' X CIRC
APPLIANCES
V
SIGNS Ct
JNSP. ROUGHIN SERVICE Of ‹- G- /3- ��f FINAL‘
,L0511" - IN AD
REREEMARKSST PERMIT FEE ELL DATE PD 4-220