HomeMy WebLinkAbout0008799-Electric (a/c) CITY OF OSHKOSH N°_ 08799
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC tz PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' C I 1 )4(;,_0-1.130-t--__ _ PLAN NO.
OWNER V (/`---s-
/`- ( _ _,
DESIGNER
USE /NATURE OF WORK A/c__
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 Vn. 1 e 5:1Sr+ G
Electric Serv. New ❑ Change Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits >\---- 9411----
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 $ / 00• 0 Permit Fee Paid $ 14-. 0 0 Park Dedication $
ISSUED BY Date C4 — f -- U F Final /O.P. 6 -45--
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d k - E5c _ -./c
(T
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ' 79 G APPL. DATE g '=i T - orr
ELEC. CONTR.
OWNER
c;rN ,44?,44(42_
ADDRESS
NATURE OF WORK /
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S per RECEPT'S CIRC'$d'
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINALt - 'A
EST. COST lee „ PERMIT FEE ° DATE PD /f
REMARKS