HomeMy WebLinkAbout0011459-Electric CITY OF OSHKOSH No 11459
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .= P/ i �? PLAN NO.
OWNER " tee —•
DESIGNER J
USE /NATURE OF WORK /� %G / '
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
4 6,0.4_,_ ,____ ....c,
ELECTRIC CONTRACTOR
e
Electric Serv. New �han °�
g ❑ Te m p ❑ Type Volts Amps
Fixtures Switches ' eceptacles Circuits /, :
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW OF' San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ Permit Fee Paid $ Se) Park Dedication $ st
ISSUED BY --7- Date // — .3 `S.7 Final /O.P. 3— s U
In the performance of th * k I agree to perform all work pursuant to rules governing the described construction.
_
SIGNATURE A t.. ` /� o tr
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMI T NO. j C 95 J APPL. DATE lD —/ 7 -7-
ELEC. CONTR. �� (
OWNER
ADDRESS 07503- t4
NATURE OF WORK y
ELEC. SERV. NEW D` GHANGE TEMP.
DESC . TYPE C.(, -- 1) ,1 3 4/0 LTS j y Ci AMPS /a U
FIX'S cL SW'S RECEPT S X CIRC'S
APPLIANCES Gz�
SIGNS �. rI'
INSP . ROUGHING- /4 / /- / SERVICE Q/s(, / '/ -z. INAL,W"V
EST_ COST /mod PERMIT FEE „, ATE PD - 9
REMARKS