HomeMy WebLinkAbout0043259-Electric (sign & service) CITY OF OSHKOSH 43259
46) PERMIT - APPLICATION AND RE
RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS / 0 0 / O 7 • PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ FueI /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ii 1....
/ 1
Electric Serv. New Change ❑ Temp ❑ Type q vl Voltsl " Amps 3 o
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 $ 30e. c Permit Fee Paid $ / a ' ° ° Park Dedication $
ISSUED BY Date //`7'/9 s '� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
2_3( -s 6ttf
PERMIT NO. L f1ZSZ • APPL D ATE /Z/ z-� ' 1 Y
E C. CONTR. '.i
/
OWNER *A
•DRE S
NATURE OF WORK MINI , - - e..
�..•MIMP CHANGE TEMP -
D C. C. EPE L VOLTS 7- V
FIX' S TYPE S 'S RECEPT'S CIRC'S
FIX'
-- ANCES
ERVICE / pig ! FIN
N P. ROU H N T FEE DAT. P�. L 'I
E COST O a P RM
REMARK
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