HomeMy WebLinkAbout0008931-Electric CITY OF OSHKOSH N° 08931
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4=)26::7 r PLAN NO.
OWNER ,,Z s�.
DESIGNER
USE /NATURE OF WORK I. ‘-'-- - ' j 9/ 7 " / " .2-1-4---
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 I
Electric Serv. New
�/�
��-, / Chan a /zO �{!o / 4.1-"vi !� g ❑ Temp ❑ Type olts Amps
Fixtures • - Switches v Receptacles v Circuits
1
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
5
FEES: Valuation $ " ®� "�� Perm Fee Paid $ Park Dedication $
ISSUED B " - ///"; - 4 1 — r.:. l Date .i = 2Z - g ,- Final /O.P. J -2 $,
In the performance of this work_I agree to perform all work pursuant to rules governing the described construction.
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AA /� �/
SIGNATURE `L' /Li`.�.� (X; -�'�,
/ DATE
ADDRESS
TELEPHONE #
PERMIT NO. 9 3 / , APPS,. D TE 1
ELEC. CONTR. `ti
OWNER S QC l74 Ao`
ADDRESS r �
NATURE OF WORK 4 � / C'V 4
ELEC. SERV. NEW CHANGE TEMP
DESC. TYP i' — — v VOLTS_ 1 ? 41 d AMPS /0 0
FIX' S S' /A..r RECEPT vl CIRC' S D�
APPLIANCES
_GN �_ l
_ S S • . • OU _ N it ��I "iL.7/� / RV _ � . • , �f�rL
. COS r • • st T ' E DA VI • D ,, - 22 - gt
REMARKS
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