HomeMy WebLinkAbout0000397-Electric CITY OF OSHKOSH N2 00397
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECkPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' 4' ,3 ' L o -' i PLAN NO.
OWNER 6,,,,4--- ..-e& � �����
DESIGNER { �J ✓ ,
USE /NATURE OF WORK CV ✓G*� 011/C -4..AG_ e# ..—
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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 !/.>w 1 �� ����� e►l, ► A, — "`
Electric Serv. NewH Change ❑ Temp ❑ Type Vo A ps BoQ
Fixtures Switches Receptacles A Circuits pc
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
FEES: Valuation $ G u Permit Fee Paid $ /I �� Park Dedication $
ISSUED BY ".4.1652,_.,..... � Date f . ! — 8 6 Final /O.P.
In the perform of is work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATU' t, _ . _ - _ - -- 'II_.. . _ AIL
AGENT /OWNE' DATE
ADDRES,
TELEPHONE #
PERMIT NO. e I 97 ,PPL. DATE 5- 2 - 0
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ELEC. CONTR. /
OWNER `
ADDRESS 3 4 5 -
NATURE OF WORK
ELEC. SERV. NEW AS CHANGE TEMP
DESC. TYPE / 3 -aZ -- `V 41 VOLTS 2;721 AMPS - WV
FIX'S oc SW'S RECEPT S < CIRC'S
APPLIANCES
SIGNS J 4i!
INSP. ROUGH�?I, (�1� ? - 9 7 SERVICE - -7G FINAL9"
EST. COST Gr2.. `rt 8'o PERMIT FE /65 ' DATE PD
REMARKS