HomeMy WebLinkAbout0043245-Electric 6 S3
N2 - 43245
CITY OF OSHKOSH
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
?c PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 Wo S- / " ' PLAN NO.
OWNER di/A6r,cil e'
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
,J
p s
ELECTRIC CONTRACTOR "i'��� 1 Ie3 G J. V p , - ,�
Electric Serv. New ❑ Change 0 Temp ❑ Type G V olts Amps
Fixtures Switches Receptacles 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
FEES: Valuation $ T 6 .9 0 • a v Permit Fee Paid $ ° 1-"
, Park Dedication $
ISSUED BY G,' �'r"'�.i.1.1.tr�.�- � - Date /7 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 #
� � S'3
L
PERMIT NO . 3 1 "(S , APPL . DATE / 0.3/9
ELEC. 'CONTR. _ `�
OWNER 4 ..it- ild N
ADDR S 3S
NATURE OF WORK ,L }. /M /141 4r
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST 44o o PERMIT FEE'_ DATE PD. /f3 /5
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