HomeMy WebLinkAbout0020744-Electric (addition) CITY OF OSHKOSH N° 20744
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC k PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 36 ---- '2 / ` e PLAN NO.
OWNER __.:('--/-C
DESIGNER
USE /NATURE OF WORK f.(/i_ -• %d-&
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 �� flail./_ fa .
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures (2 Switches c-- '-- Circuits C2( tC)-±
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
d
FEES: Valuation $ / �� Permit Fee Paid $ ` 5 G Park Dedication $
ISSUED BY /// 1-1 ■- - ! ✓ Date /e —762 — �., Final /O.P. /U - / _ / q
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 3(.1.i < r U / 0
AGENT /OWNER // DA
ADDRESS
TELEPHONE #
PERMIT NO. 7 / , APPL . DATE / — Y `�se
ELIC. CONTR. e;7 7, 4 4-4,e-e--<- 7 4
OWN R / ��
ADDRESS ` j 3 d
NATURE OF WORK
/ i
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE /_. VOLTS AMPS
FIX' LC _ SW'S .7 RECEPT'S •\ CIRC'S
APPLIANCES
SIGNS .
INSP. ROUGHIN0, /O - -9� SERVICE FINAL -1/44t
EST. COST AGO° G PERMIT FEE /,7 DATE PD el /51
REMARKS
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