HomeMy WebLinkAbout0028499-Electric (service change) CITY OF OSHKOSH N° 28499
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7/ AR 8 G i G�y7 -,,. `
PLAN NO.
(''� /� �
OWNER r,L l c ---r/ . . d -e, --d /
DESIGNER
USE /NATURE OF WORK C ,/„1.- e.-yA-C�
7 - 4' l` /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
c
Electric Serv. New ❑ Change Temp ❑ Type Volts # 1 U Amps / (9(1
Fixtures Switches Receptacles 7 Circuits 1%c (2)
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: Valuatio ' ------- Permit Fee Paid $ s c —� — Park Dedication $
ISSUED BY LL, 14 , - Date — G� — O z_ Final /O.P. 5 'ad -9"
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A7
/(11,17-,")7.1- OWNER DATE
ADDRESS_, 5 9°2 LZ ,V71- p 4t T / C Xd <D 37,2 -.. g C !
TELEPHONE #
PERMIT NO. 7 D (V y .APPL. DATE 5 y — 7 2
ELEC. CONTR.
OWNER C
ADDRESS
NATURE OF WORK
ELEC. SERV.• NEW CHANGE A TEMP.
DESC. TYPE 1-6 c' - 34---VOLT AMPS L 0
FIX'S SW'S X RECEPT' CIRC'S X'
APPLIANOP
SIGNS ��
N ROUqy - ERVI FIN `_ -- 0'5'2
. COS ®d'.' - - T F a = DATE PD . 5-- i -72
REMARKS