HomeMy WebLinkAbout0026594-Electric CITY OF OSHKOSH N2 26594
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
any/
ADDRESS °? �" /���� -�/
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK 9( 74A—e----
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
eL
ELECTRIC CONTRACTOR
Electric Serv. New Change ❑ Temp ❑ Type Volts gmos /6--c.) Fixtures Switches Receptacles t� 1�
p Circuits g------
PLUMBING CONTRACTOR
- BT _ WH _ Disp — WSoft
CBasin
— Lav Sh DW DF
San. Sewer
— WC — FDr SP Ur
Storm Sewer
- Sink LTub Eject SS
Other
Water
FEES: Valuation Permit Fee Paid $ e..5:0 v
Park Dedication $
ISSUED BY Date 4. 9 — 7 —1/ Final /O.P. Id WO - 90
In the performance of this wor I agree • perform all work pursuant to rules governing the described construction.
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SIGNATURE / ° -"� « Z?;ZZ______
AG /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO . v . APPL . DATE / ` �j
ELEC. CONTR. 4
OWNER � /1.eX /
�'
ADDRESS -- /
NATURE OF WORK
4
ELEC. SERV. NEW 95 CHANGE TEMP.
DESC. TYPE 1 w- v VOLTS AMPS /
FIX'S ' SW'S pS RECEPT'S CIRC'S iC
APPLIANCES
INSP. ROUGHIN`' '- LY- p,2 S RVICE ' - 1/ i j/ FINAL /,1 - /G, - P
EST. COST /S W PERMIT FEE SO DATE PD _q l�
REMARKS