HomeMy WebLinkAbout0036795-Electric CITY OF OSHKOSH
N9 36795
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC )(PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 Cr !?/ i i �„�f PLAN NO.
OWNER f4 ao>14,-;
DESIGNER
•
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat p A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ,e) , _ )
Electric Serv. New ❑ Change ❑ emp ❑ Type y �* Volts 3 cc.1 Amps /00
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
_Sink LTub Eject SS Water
Other
FEES: Valuation $ Z ° ` Permit Fee Paid $ .0'0 0 i Park Dedication $
ISSUED BY r / ►././q ri�,--- Date / //9/93 Final /O.P. 4
In the performance of this work agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7—' j •
/ AGENT /OWNER DATE
ADDRESS
TELEPHONE #
C
PERMIT NO. 5 5 o �' . APPL. DATE ld /0%3
•
ELEC. CONTR. g :e.& t
OWNER A/0
ADDRESS 2 6� ,
NATURE OF WORK
ELEC. SERV. NEW CHANGE T EMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP . ROUGHIN //2-99 SERVICE /o i/ ft 3 FINAL q// 1*
EST. COST - 1,9-o D . d o PERMIT FEE 5 0, •20 DATE PD.
REMARKS