HomeMy WebLinkAbout0007267-Electric CITY OF OSHKOSH No 07267
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 1TA4LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS °2 r LY 7 f �� `- PLAN NO.
OWNER /" `e., -'� -
DESIGNER
USE /NATURE OF WORK V - ,' "
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 ia` - ' - " V
Electric Serv. New Change ❑ Temp ❑ Typei/ N Volts y ° Amp
Fixtures 1/ Switches v Receptacles Circuits L'
AQ__ —
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
/ 2 p o '"
FEES: Valuation $ z Permit Fee Paid $ 5- a Park Dedication $
ISSUED BY Date 3 —z —870- Final /O.P. ¥ L `
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE / ,r- -eO
• WNER DATE
ADDRESS
TELEPHONE #
O. • 4 ' , APPL. DAT /
ELEC. PERMIT N CONTR.
OWNER
ADDRESS l-
NATURE OF WORK
,Z/#
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE , 3 -- LJ VOLT: 1 4„. �'/O AMPS. d
FIX'S DL 5 «i K RECE S CIRC' S
AP •L ANCES ■ /
/lam i /�g ` i i /
NSP ROUG N aTd�.'i 4 I N
EST. COST ,0 d - PERMIT FEE S -SPATE PD.' -z • •
REMARKS
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