HomeMy WebLinkAbout0019480-Electric CITY OF OSHKOSH N° 19480
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 16/ 4:?_,,,l6 PLAN NO.
OWNER 16,-7 X - a ---- " ---- -
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 ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 0 c'
Electric Serv. New �hange ❑ Temp ❑ Type Volts Amps �" v
Fixtures V Switches L.---- Receptacles 1---- Circuits `'
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
bea--teM-
FEES: Valuatio $ d Permit Fee Paid $ 4" Park Dedication $
ISSUED BY Date '7 Final /O.P. 7 ^' C . 1"
In the performance of this work I a• - to perform all work pursuant to rules governing the described construction.
/
41 SIGNATURE -. ...11 ���a
/ A -...' T /OWNER DATE I
ADDRESS
TELEPHONE #
PE - NO. 7 -171 � . APP . DATE -- 1 "a
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. CONTR. 6 4 / ddA 4 yam -.1.4. i-
OWNER "1 r>/Qc-4--
ADDRESS /J/,' / � ���
N OF WORK i ,
F,,LEC. SERV. NEW D CHANGE TEMP
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FIX' G. - S Ara C _ RC' S
APPLIANCES ' r'
G��� G c -'
SIGNS
ROU B ' -b - ER CE r - - - C FIN • - ''
EST. COST 1 - d =----- PERMIT FEE - r" DATE PD 7 8=90
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